The nurse is aware that an abdominal mass found in a 10-month-old ...

[ENagel]

The nurse is aware that an abdominal mass found in a 10-month-old infant corresponds with which cancer?
 
  a. Osteogenic sarcoma
  b. Rhabdomyosarcoma
  c. Neuroblastoma
  d. Non-Hodgkin's lymphoma

Question 2

A child with non-Hodgkin's lymphoma will be starting chemotherapy. Which intervention is initiated before chemotherapy to prevent tumor lysis syndrome?
 
  a. Insertion of a central venous catheter
  b. Intravenous (IV) hydration containing sodium bicarbonate
  c. Placement of an externalized ventriculoperitonea l (VP) shunt
  d. Administration of pneumococcal and H. influenzae type B vaccines

[cpetit11]

Answer to Question 1

C
Neuroblastoma is found exclusively in infants and children. In most cases of neuroblastoma, a primary abdominal mass and protuberant, firm abdomen are present. Osteogenic sarcoma is a bone tumor. Bone tumors typically affect older children. Rhabdomyosarcoma is a malignancy of muscle, or striated tissue. It occurs most often in the periorbital area, in the head and neck in younger children, or in the trunk and extremities in older children. Non-Hodgkin's lymphoma is a neoplasm of lymphoid cells. Painless, enlarged lymph nodes are found in the cervical or axillary region. Abdominal signs and symptoms do not include a mass.

Answer to Question 2

B
Intensive hydration with an IV fluid containing bicarbonate alkalinizes the urine to help prevent the formation of uric acid crystals, which damage the kidney. A central venous catheter is placed to assist in delivering chemotherapy. An externalized VP shunt may be placed to relieve intracranial pressure caused by a brain tumor. If a splenectomy is necessary for a child with Hodgkin's disease, the pneumococcal and H. influenzae vaccines are administered before the surgery.

[ENagel]

Excellent

[rleezy04]

TYSM