Oncological Problems

The nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. Which action should the nurse perform immediately?

A child undergoes surgical removal of a brain tumor. During the postoperative period, the nurse notes that the child is restless, the pulse rate is elevated, and the blood pressure has decreased significantly from the baseline value. The nurse suspects that the child is in shock. Which is the most appropriate nursing action?

The mother of a 4-year-old child tells the pediatric nurse that the child’s abdomen seems to be swollen. During further assessment, the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. The nurse, suspecting the possibility of Wilms’ tumor, should avoid which during the physical assessment?

The nurse provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a member of the nursing staff indicates a need for information?

The nurse analyzes the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse notes that the platelet count is 19,500 mm3 (19.5×109/L). On the basis of this laboratory result, which intervention should the nurse include in the plan of care?

The nurse is monitoring a 3-year-old child for signs and symptoms of increased intracranial pressure (ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP?

A 4-year-old child is admitted to the hospital for abdominal pain. The mother reports that the child has been pale and excessively tired and is bruising easily. On physical examination, lymphadenopathy and hepatosplenomegaly are noted. Diagnostic studies are being performed because acute lymphocytic leukemia is suspected. The nurse determines that which laboratory result confirms the diagnosis?

A 6-year-old child with leukemia is hospitalized and is receiving combination chemotherapy. Laboratory results indicate that the child is neutropenic, and protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden and asks the nurse for a vase for the flowers. Which response should the nurse provide to the grandmother?

A diagnosis of Hodgkin’s disease is suspected in a 12-year-old child. Several diagnostic studies are performed to determine the presence of this disease. Which diagnostic test result will confirm the diagnosis of Hodgkin’s disease?

Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? Select all that apply.

1. Maintain the child in a semiprivate room.
2. Reduce exposure to environmental organisms.
3. Use strict aseptic technique for all procedures.
4. Ensure that anyone entering the child’s room wears a mask.
5. Apply firm pressure to a needle-stick area for at least 10 minutes.

The nurse is performing an assessment on a 10-year-old child suspected to have Hodgkin’s disease. Which assessment findings are specifically characteristic of this disease? Select all that apply.

1. Abdominal pain
2. Fever and malaise
3. Anorexia and weight loss
4. Painful, enlarged inguinal lymph nodes
5. Painless, firm, and movable adenopathy in the cervical area