NUR 232 Final Exam Questions with 100% Complete Solutions Graded to Pass

What medication can be given before chemo to help with nausea/vomiting? antiemetic- give about 30 minutes before Hodgkins Lymphoma distinguished from other lymphomas by the presence of large, cancerous lymphocytes known as Reed-Sternberg cells Key finding- enlarged, firm, nodular, lymph nodes Non-Hodgkin's Lymphoma Disease is diffuse rather than nodular, starts from lymphocytes, cells are undifferentiated or poorly differentiated What is the most common head injury in a child? concussion What are the hallmark symptoms of a concussion? confusion and amnesia that can occur with or without LOC What is the NI/Pt teaching for head injury/concussion? wake pt up every couple hours lower screen time Notify dr- seizures, increased headache, confusion Nurses- NPO, I&O, Daily weights, S/S ICP What are the early S/S of IICP HA Nausea Vomiting Visual Disturbance ***Change in LOC What are signs of IICP in a baby? Irritable bulging fontanelles Widened sutures bigger head circumference What are late signs of IICP? Cushings Triad- Increased BP, Low HR, Low RR Fixed Dilated Pupils How do you diagnose IICP? X-ray, CT, MRI, PET **LUMBAR PUNCTURE- don't do until you have CT What is the most common pediatric neuro disorder? Seizures What are the causes of seizures? FEVER IICP Epilepsy Migraines Tumor Trauma Hyperbilirubemia Kernicterus Infection Toxins What ages do febrile seizures occur? 6 months- 5 years What is the most common cancer in kids? Leukemia More common in boys Onset 2-5 yo What is used for the definitive diagnosis for Leukemia? Bone marrow aspiration and biopsy Leukemia cancer of white blood cells WBC high initially then destruction of cells