A child with leukemia is receiving intrathecal chemotherapy. The nurse should recognize that intrathecal chemotherapy will prevent which of the following?
Infection
Drug side effects
Brain tumor
Central nervous system (CNS) disease
The Correct Answer is D
A. Pain management is important, but the priority after surgery is to monitor vital signs and assess for complications like shunt malfunction.
B. Teaching is important but not the priority immediately post-surgery. The priority is to monitor for complications in the immediate postoperative period.
C. Fluid intake is important but not the primary concern immediately after surgery. The focus should be on monitoring for complications and managing pain.
D. After a VP shunt procedure, monitoring for complications such as infection or shunt malfunction is critical. Vital signs should be assessed regularly to detect signs of these complications.
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Related Questions
Correct Answer is A
Explanation
A. Rhabdomyosarcoma is a soft tissue cancer that most commonly affects the head and neck, especially in children.
B. Rhabdomyosarcoma is not a bone tumor; it is a soft tissue tumor. The most common bone tumor in children is osteosarcoma.
C. Rhabdomyosarcoma is a malignant tumor, not benign, and it is one of the most common childhood cancers.
D. Rhabdomyosarcoma is not generally considered a hereditary tumor. Most cases are sporadic with no known genetic predisposition.
Correct Answer is C
Explanation
A. This is important for mobility, but after casting, the priority is to monitor for complications such as compartment syndrome, which can be life-threatening if not addressed.
B. While body image and emotional well-being are important, the priority immediately following a fracture and cast placement is physical monitoring for complications.
C. Worsening pain after a fracture or cast placement may indicate complications such as compartment syndrome, a medical emergency that requires prompt intervention. Monitoring for signs of increased pain is crucial.
D. Range of motion is a later consideration after ensuring the child does not have complications such as compartment syndrome. The priority is evaluating the affected limb for issues like worsening pain or signs of nerve damage.
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