BEARS - The BEARS tools assesses the child's sleep history with respect to Bedtime, Excessive
daytime sleepiness, Awakenings, Regularity and Snoring. - ANSWER Parents report that
their school- aged child with leukemia is not sleeping well at home. Which tool is used to
assess for sleep disturbance?
Autonomy versus doubt - Psychosocial autonomy versus doubt is the developmental task of a
toddler. - ANSWER Which of the following describes the developmental stage of a
toddler?
Denial allows the patient to maintain hope in order to function productively. - ANSWER
The nurse notices that a 13-year- old has been cheerful since learning of her cancer diagnosis,
avoids discussing her illness and treatment, and allows her parents ask all the questions. The
best interpretation of her behavior is that the patient is:
Be emotionally involved and available to the teen. - ANSWER The parent of an adolescent
with cancer seeks advice on how to best promote the emotional well- being of the child while
receiving therapy. The nurse's best advice to the parent is to?
Translocation of B-cell immunoglobulin genes - Burkitt lymphoma and Burkitt-like lymphoma
are characterized by the chromosomal translocation of B-cell immunoglobulin - ANSWER
Which of the following is a cytogenetic feature for a patient diagnosed with Burkitt
lymphoma?
Localized nodal disease - Involvement of a single lymph node is a favorable prognostic
indicator. The presence of B symptoms, male gender, and an elevated sedimentation rate are
considered unfavorable prognostic indicators. - ANSWER What is a favorable prognostic
indicator for a child diagnosed with Hodgkin lymphoma?
Langerhans cell histiocytosis - ANSWER Which of the following is a disorder of dendritic
cells?
Vagus - Brainstem gliomas effect cranial nerves V-X, and are located below the tentorium
cerebelli. - ANSWER Which nerve will most likely be compromised for a child diagnosed
witha brainstem glioma?
Oncogenes promote cell growth and prevent apoptosis. - ANSWER Oncogenes transform
normal cells in to cancer cells by which of the following actions?
Abdominal lymphomas are at increased risk for tumor lysis syndrome and bowel obstruction -
, ANSWER A patient with non-Hodgkin lymphoma with abdominal involvement is at greatest
risk for which of the following complications?
Leukocyte-reduction prevents the transmission of cytomegalovirus - ANSWER Blood
products are leukocyte- reduced to prevent which of the following?
50GY - ANSWER Moist desquamation of the skin occurs with radiation doses of:
1000 mg/m2 of intravenous cytarabine - ANSWER Which of the following doses of
medication is most likely associated with neurocognitive sequelae?
Signs of precocious puberty include advanced bone age, early onset breast development,
early epiphyseal fusion, short stature. - ANSWER Which of the following is an indication
that a child is experiencing precocious puberty?
"Which therapies have you looked in to?" Nurses should encourage open communication with
families about complementary therapies. Nurses should assess which therapies the patient
would like to have more information about. - ANSWER After receiving treatment
information, the parents of a child recently diagnosed with cancer ask if complementary and
alternative treatments are an option. What is the nurse's best response?
The mechanism of action determines how the medication is classified. - ANSWER
Chemotherapy medications are either cell-cycle specific or nonspecific as determined by the
medication's?
Verify that the product is leukocyte-reduced - ANSWER Which of the following is the most
important action for the nurse to take prior to beginning the first platelet transfusion for a
patient with leukemia?
Decreased incidence of graft-versus-host disease - The potential for a low incidence of
graft-versus-host-disease (GVHD) may be one of the most important advantages for using
umbilical cord blood - ANSWER Which of the following is an advantage of cord blood
transplantation?
"It is contraindicated with your child's treatment plan." Echinacea, antioxidants and
immune-enhancing herbal therapies are contraindicated during bone marrow transplant. -
ANSWER Parents ask the nurse if echinacea supplements can be administered prior to their
child's allogeneic stem transplant. What is the nurse's best response?
Nephrotoxicity - Cisplatin intensifies aminoglycoside toxicity and should be used in caution
when administered concurrently with gentamicin. - ANSWER What is a potential risk for
patients receiving gentamicin concurrently with cisplatin?
The current treatment plan will provide the best possible outcome. "What concerns do you
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