Chapter 50 Maternity and Pediatric Nursing 2nd Edition

Chapter 50  Maternity and Pediatric Nursing 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is caring for a 16-year-old boy with acute myelogenous leukemia who is having chemotherapy and who has incomplete records for varicella zoster immunization. Which of the following will be the priority nursing diagnosis?
A)
Pain related to adverse effects of treatment verbalized by the child
B)
Nausea related to side effects of chemotherapy verbalized by the child
C)
Constipation related to the use of opioid analgesics for pain
D)
Risk for infection related to neutropenia and immunosuppression

2.
The nurse is caring for an 8-year-old girl who has been diagnosed with leukemia and will have a variety of tests, including a lumbar puncture, before beginning chemotherapy. Which of the following would be the priority?
A)
Applying EMLA to the lumbar puncture site
B)
Educating the child and family about the testing procedures
C)
Administering promethazine as ordered for nausea
D)
Educating the family about chemotherapy and its side effects

3.
The nurse is caring for a 13-year-old boy with acute myelogenous leukemia who is experiencing feelings of powerlessness due to the effects of chemotherapy. Which of the following interventions will best help the teen’s sense of control?
A)
Involving the boy in decisions whenever possible
B)
Acknowledging the boy’s feelings of anger with the disease
C)
Providing realistic expectations of treatments and outcomes
D)
Recognizing abilities that are unaffected by the disease

4.
The nurse is caring for a 5-year-old girl with a disseminated medulloblastoma. Which of the following interventions would be most appropriate for this situation?
A)
Providing emotional support to the parents and siblings of the child
B)
Recommending support groups for people whose children have cancer
C)
Encouraging the family to cry and express feelings away from the child
D)
Educating the family about the disease, its treatments, and side effects

5.
The nurse is assessing a 3-year-old boy whose parents brought him to the clinic when they noticed that the right side of his abdomen was swollen. Which of the following findings would suggest this child has a neuroblastoma?
A)
The child has a maculopapular rash on his palms.
B)
The parents report that their son is vomiting and not eating well.
C)
The parents report that their son is irritable and not gaining weight.
D)
Auscultation reveals wheezing with diminished lung sounds.

6.
The nurse is educating the parents of a 4-year-old boy with a Wilms tumor who is about to have chemotherapy prior to surgery. Which statement by the parents indicates that the nurse should review the instructions about preventing infection?
A)
“He takes his antibiotic twice a day.”
B)
“We check his temperature orally.”
C)
“We keep him away from crowds.”
D)
“He must be clean and his teeth brushed.”

Answer Key

1.
D
2.
B
3.
A
4.
C
5.
B
6.
A