Chapter 33 Caring for the Child With Cancer

Chapter 33  Caring for the Child With Cancer

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A nursing faculty member explains to the class that which item is the most important for tumor cell growth?
A.
Age of transforming cells
B.
Programmed cell death
C.
Proximity to a capillary
D.
Rapidity of cell growth

ANS: C
All cells, including tumor cells, need a consistent supply of oxygen and nutrients, delivered via the capillaries. Neoplastic cells must be in close enough proximity to a capillary to provide these required elements. The other factors do not have such an important role, if any, in neoplastic growth.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

2. A nursing student asks the faculty member to explain an oncogene. Which response by the faculty member is the most appropriate?
A.
A cell that changes into a malignancy after environmental stress
B.
Any gene found inside a solid tumor that can be removed for biopsy
C.
A gene in a virus that encourages malignant transformation in cells
D.
An inherited gene that is programmed to become a malignant cell

ANS: C
An oncogene is a gene found inside a virus that has the ability to encourage a normal cell to become malignant.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Teaching/Learning
Difficulty: Easy

PTS: 1

3. A nurse is reviewing a patient’s chart and notes that the patient has a cancerous tumor that has invaded other organs. Based on this information, at which stage is this patient’s cancer classified?
A.
Stage O
B.
Stage I
C.
Stage III
D.
Stage IV

ANS: D
A stage IV cancer is one that has invaded other organs. Stage 0 is early cancer, present only in the cells in which it began. Stages I-III are more extensive, with larger tumors and spread to nearby lymph nodes or adjacent organs.

Cognitive Level: Knowledge/Remembering
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Nursing Process: Assessment
Difficulty: Easy

PTS: 1

4. A nurse hears that a new admission to the hospital was recently diagnosed with the most common kind of childhood cancer. Which collaborative care does the nurse prepare to provide to this patient?
A.
Antibiotic administration
B.
Bone marrow transplant
C.
Chemotherapy
D.
Liver transplant

ANS: C
The most common type of childhood cancer is acute lymphocytic leukemia (ALL). First-line treatment for ALL is inducing remission with chemotherapy. Antibiotics are not used unless the child has an infection. Bone marrow transplant may be considered later in the child’s course of care. A liver transplant would not be a treatment for ALL.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Nursing Process: Implementation
Difficulty: Moderate

PTS: 1

5. A parent brings a child to the clinic and reports that the child is reluctant to walk and has a new limp. The parent also reports that the child seems lethargic and tired all the time. The nurse notes that the child appears pale. Which other finding would warrant immediate notification of the health-care provider?
A.
Difficulty staying asleep at night
B.
Left-sided abdominal enlargement
C.
Polyphagia and polydipsia
D.
Swelling of the legs and feet

ANS: B
This child has some manifestations of acute lymphocytic leukemia (ALL). Left-sided abdominal enlargement could be indicative of splenomegaly, which is another manifestation of this disease. The nurse should report these findings immediately. Difficulty staying asleep at night is vague and could be related to a number of causes, both physical and behavioral. Polydipsia and polyphagia are two of the three classic signs of diabetes. Swelling of the legs and feet is not a manifestation of ALL.

Cognitive Level: Application/Applying
Content Area: Pediatrics/Maternity
Patient Needs: Physiological Integrity: Physiological Adaptation
Integrated Process: Nursing Process: Assessment
Difficulty: Moderate

PTS: 1