ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 25 : The Child with Cancer Questions
Question 1 of 5
In teaching parents how to minimize or prevent bleeding episodes when the child is myelosuppressed, the nurse includes what information?
Correct Answer: A
Rationale: Meticulous mouth care prevents gingival bleeding and mucositis in myelosuppressed children with low platelets. Rectal temperatures and intramuscular injections risk bleeding and infection, and platelet transfusions are typically given below 10,000/mm3 or with active bleeding.
Question 2 of 5
A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. What is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?
Correct Answer: B
Rationale: Administering an antiemetic like ondansetron before chemotherapy prevents anticipatory nausea and vomiting. Giving chemotherapy between meals doesn?t prevent nausea, favorite foods may cause aversions, and NPO status risks dehydration and discomfort.
Question 3 of 5
A young child with leukemia has anorexia and severe stomatitis. What approach should the nurse suggest that the parents try?
Correct Answer: A
Rationale: Relaxing eating pressures and offering soft, bland foods with mouthwashes and anesthetics support nutrition in children with stomatitis and anorexia. Insisting on normal eating creates conflict, hot/cold foods may irritate mucosa, and liquids alone are insufficient.
Question 4 of 5
The nurse is preparing a child for possible alopecia from chemotherapy. What information should the nurse include?
Correct Answer: C
Rationale: Chemotherapy-induced alopecia may result in hair regrowing with a different color or texture. Children choose preferred head coverings, sunlight risks sunburn, and hair typically regrows within 3-6 months post-chemotherapy, not 12 months.
Question 5 of 5
What pain management approach is most effective for a child who is having a bone marrow test?
Correct Answer: D
Rationale: Conscious or unconscious sedation is most effective for managing pain during bone marrow tests, with relaxation, opioids, and EMLA as adjuncts. Sedation ensures comfort and minimizes distress during this invasive procedure.