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NSG-434 Exam Final (Topic 5/6) | Questions And Answers Latest {} A+ Graded | 100% Verified
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NSG-434 Exam Final (Topic 5/6) | Questions And Answers Latest {2024- 2025} A+ Graded | 100% Verified
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NSG-434 Exam Final (Topic 5/6) | Questions And Answers Latest {2024-2025} A+ Graded | 100% Verified
what should a nurse say when a parent asks them what they would do for EOL care - tell them you can't
make that choice for them and ask them what their child wants/would want
what does a butterfly or rainbow outside of a door mean - the child is terminally ill or is likely to die soon
code white means - a child has died (moment of silence)
pain and symptom management for EOL care - -continuous pain med (morphine)
-give morphine before extubation
-be honest with family members
children express their grief through - play and behavior
what diagnostic test is used for cancer - PET imaging is used to find tumors
what may be done before resection of a cancerous tumor - radiation
chemotherapy can be done by - experienced and trained nurses
bone marrow transplant considerations - -reverse isolation
-gloves, gown, mask
-visitors take off PPE outside of room
-Pt takes off PPE inside room
signs and symptoms of cancer - -excessive, rapid weight loss (10-20 lbs in short amount of time)
-they should be growing at this time
,-sudden vision changes
-headache (due to pressure from tumor)
managing infection side effects of cancer tx - monitor for septic shock
-fever with ANC <500
-prevention of infection
managing hemorrhage side effect of cancer - -prevented with plt infusions
-AVOID activities that could cause injury (bike or skateboard, contact sports)
managing N/V side effect of cancer - administer antiemetic 30mins before chemo
managing nutrition side effect of cancer - -high protein, high calorie, full-fat
-foods with no extreme temps
-no carbonated drinks
-give them what they want to eat since they usually don't eat a lot
managing mucosal ulceration side effect of cancer - -sitz baths for rectal lesions
-lidocaine, benadryl, Maalox, and Nystatin combo
-bland, moist, soft food
-soft sponge toothbrush
managing neuro problem side effects of cancer - -foot drop happens with too much time in bed
-Jaw pain since they clench with pain
-coughing and vomiting with a lot of force so that everything hurts
-ROM
what is the most common form of childhood cancer - ALL (acute lymphocytic leukemia)
-immature WBC (leads to low count since only fully functional ones can be counted)
, what is one thing to be cautious about with children with leukemia - their bones are weak and prone to
fractures
clinical manifestations of leukemia - -anemia
-easy bruising
-very pale and tired
-poor appetite
-bones hurt A LOT (parent may think they're growing pains)
diagnostic evaluation of leukemia - -ask parents about infections
-lumbar puncture: curl child up into tight ball, talk to them and tell them exactly what's going on
leukemia nursing management - -watch for infection (labs)
-reverse isolation sometimes
-Induction phase
-Intensification phase
-maintenance therapy (weekly/monthly CBCs)
is hodgkin or non-hodgkin lymphoma more prevalent with younger individuals? - non-hodgkin (<14)
hodgkin disease often metastasizes to - the spleen or liver... can end up going to bone marrow due to
circulation
clinical manifestations of hodgkin disease - -soft, painless enlarged lymph nodes
-cough
-dysphagia
-dyspnea
-weight loss (due to not eating)
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