A child receiving a transfusion of packed red blood cells develops signs of a hemolytic reaction. Which of the following would be expected? (Select one that does not apply.)

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Question 1 of 5

A child receiving a transfusion of packed red blood cells develops signs of a hemolytic reaction. Which of the following would be expected? (Select one that does not apply.)

Correct Answer: B

Rationale: Hemolytic transfusion reactions may present with fever, hypotension, and oliguria due to renal failure.

Question 2 of 5

A parent of a 4-year-old with suspected Wilms tumor is brought to the clinic. Which is most important during the physical examination?

Correct Answer: A

Rationale: Abdominal palpation in a child with suspected Wilms tumor should be avoided because manipulation may lead to tumor seeding.

Question 3 of 5

When caring for a child with lymphoma, the nurse should be aware that:

Correct Answer: B

Rationale: Aggressive combination chemotherapy along with central nervous system prophylaxis has significantly improved survival in children with lymphoma.

Question 4 of 5

Which best describes the action of chemotherapeutic agents used in treating cancer in children?

Correct Answer: D

Rationale: Chemotherapeutic agents work by interrupting the cell cycle, leading to the death of rapidly dividing cells, including cancer cells.

Question 5 of 5

Which are the reasons to perform a lumbar puncture on a child with leukemia? (Select one that does not apply..)

Correct Answer: B

Rationale: A lumbar puncture is done to assess for central nervous system (CNS) involvement and to administer intrathecal chemotherapy. (Ruling out meningitis and staging are not the primary reasons in this context.)

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