NSG441 PEDS FINAL EXAM WITH QUETSIONS AND
ANSWERS. 100% WELL VERIFIED REVSION MATERIAL
FOR A+ GRADE RESULTS
1. The following are...?
• Unusual mass or swelling
• Unexplained paleness and loss of energy
• Sudden tendency to bruise
• Persistent, localized pain or limping
• Prolonged, explained fever or illness
• Frequent headaches, often with vomiting
• Sudden eye or vision changes
• Excessive, rapid weight loss
• Swollen lymph nodes, fever, abnormal CXR: general sass of
cancer
2. Most common type of cancer in children? leukemia
3. What accounts for % of all pediatric cancers? leukemia and
lymphoma 4. Children w/ are more
susceptible to certain cancers: Trisomy 21 (Down syndrome)
(have a 20x higher risk of ALL than other children do)
5. If pts. have ulcers in their mouth or GI tract as chemo SE's, the nurse
should... (3): - provide nutrition supplement (may be easier to drink
something than eat solid foods) - give pain relief
- provide/ensure good oral care
6. The following are...
- encourage child to wear LOOSE fitting clothes over the area,
to minimize any friction or skin irritation
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,- wear long sleeve + long pants; stay in shade and wear
sunscreen: interventions for skin SEs of radiation
7. What are the 3 major problems Leukemia causes? - Anemia due
to decreased
RBCs
- Increased infections due to neutropenia
- Increased bleeding due to decreased platelets
8. - affects teens 15 - 19 years old
- primarily involves the lymph nodes
- lymph node biopsy is essential for ding and staging of the
cancer
- s/s: enlarged lymph nodes, temp >100.4F for > 3 days, night
sweats, unexplained wt. Loss of over last 6 mons, fatigue,
anorexia, cough, abdominal discomfort, pruritus: Hodgkin's
Lymphoma
9. affects teens 15 - 19 years old: Hodgkin's lymphoma
10. primarily involves the lymph nodes: Hodgkin's lymphoma
1 1. - affects children 14 years
and younger (< 14 years old)
- disease is diffuse instead of nodular
- there is early + rapid dissemination
- s/s are more diverse
- invasion of meninges common (may see some CNS sumps):
Non-Hodgkins lymphoma
12. - affects children 14 years and younger
2/36
, NSG441 PEDS FINAL EXAM WITH QUETSIONS AND
ANSWERS. 100% WELL VERIFIED REVSION MATERIAL
FOR A+ GRADE RESULTS
(< 14 years old): Non-Hodgkins lymphoma
13. - disease is diffuse instead of nodular: Non-Hodgkins lymphoma
14. - there is early + rapid dissemination: Non-Hodgkins lymphoma
15. - invasion of meninges common (may see some CNS
sumps): Non-Hodgkins lymphoma
16. What is the main pre-op precaution for a child w/ a Wilms
tumor? no abdominal palpation!
17. What type of sports precautions should a child w/ Wilms tumor
be on? contact sports precautions - counsel child to participate in
LOW contact sports (ex: swimming)
18. After the initial dressing change from a retinoblastoma,
what is used to keep the area clean + free from the toddler's
exploring fingers? an eye patch 19. With retinoblastoma, what
are 2 safety/injury prevention guidelines that are imp. to
maintain sight in unaffected eye? - avoid contact sports - use eye
protection during all sports to protect the remaining eye
20. Which immune disorder mentioned in lecture can mimic
symptoms of other GI disorders? eosinophilic Glo disorder
21. - Overproduction of eosinophils causing chronic
inflammation and tissue damage.
- Variety of presenting s/s: reflux, vomiting, trouble
swallowing, abdominal pain, malabsorption, FTT (failure to
3/36
, thrive): eosinophilic Glo disorder - immune disorder that can
mimic other symptoms of Glo disorders
22. Where are children cared for most often at the end of
life? at home or brought to the hospital in their final days 23.
The following describes...
provide symptomatic relief even if the intervention itself involves
a risk of hastening death: the principle of Double Effect
24. In the principle of Double Effect, the action must meet
conditions: 4 conditions
25. The following are...?
1. An action that has one good (intended) and one bad
(unintended but foreseeable) effect is permissible if conditions
are met:
2. The action itself must good or indifferent. Only the good
consequences of the action must be sincerely intended.
3. The good effect must not be produced by bad effect
4. There must be a compelling or proportionate reason for
permitting the foreseeable bad effect to occur.: the 4 conditions
an action must meet to follow the principle of Double Effect
26. The following are people who can...?
Legal guardians, health care power of attorney, health care
surrogate: sign Advanced Directives
27. To write a legally binding advanced directive, one needs to
be...: 18 or older
28. Parents can write advanced directives for their children.
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