Author Question: The pediatric nurse is providing care to a school-age child receiving chemotherapy to treat cancer. ... (Read 84 times)

Jramos095 · **on:** Jun 28, 2018

The pediatric nurse is providing care to a school-age child receiving chemotherapy to treat cancer. Which interventions are appropriate to include in the plan of care in order to monitor for oncologic emergencies?

1. Monitor complete blood count (CBC).
2. Document intake and output.
3. Observe for behavioral changes.
4. Refer for psychosocial support.
5. Implement neutropenic precautions.

Question 2

The pediatric nurse educator is conducting an in-service for novice nurses who will begin working on the pediatric oncology unit. The educator wants to include the common clinical manifestations of cancer.

Which manifestation will the educator include in the presentation?
Standard Text: Select all that apply.
1. Cachexia
2. Anemia
3. Gene abnormalities
4. Palpable mass
5. Chromosomal abnormalities

tuwy · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale: Oncologic emergencies can be organized into three groups: metabolic, hematologic, and those involving space-occupying lesions. Appropriate interventions for the nurse to include in the plan of care to monitor for these emergencies include monitoring the CBC to prevent sepsis and hemorrhage; monitoring intake and output by encouraging hydration to prevent hypercalcemia and observing for signs of water intoxication; and observing for behavioral changes as space-occupying lesions may cause seizures or increased intracranial pressure. Referring for psychosocial support and implementing neutropenia precautions may be appropriate, but these interventions do not address oncologic emergencies.

Answer to Question 2

Correct Answer: 1,2,4
Rationale: Common clinical manifestations of childhood cancer include cachexia, anemia, and a palpable mass. Gene abnormalities and chromosomal abnormalities are common etiologies to childhood cancer, not clinical manifestations.