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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Non-contact sports like swimming are generally safe for children with hemophilia as they carry a lower risk of injury.
B. Wearing helmets and protective gear is an important safety measure for children with hemophilia to prevent trauma.
C. While it is important to avoid excessive risk of injury, children with hemophilia can still participate in many activities with precautions.
D. NSAIDs should not be used in children with hemophilia as they can increase the risk of bleeding. Acetaminophen (Tylenol) is a safer option for pain relief.

A. Computed tomography scan (CT scan) B. Electroencephalogram (EEG) C. Analysis of Cerebral Spinal Fluid (CSF) D. Blood Culture & Sensitivity (C&S)

Correct Answer is C

Explanation

A. A CT scan is not typically used to assess febrile seizures or to diagnose meningitis in this context. CSF analysis is more relevant.
B. While an EEG could be helpful for diagnosing seizures, it is not the priority in this case where an infection (meningitis) is suspected.
C. As mentioned in question 36, CSF analysis is essential in diagnosing meningitis, especially in infants presenting with seizures and fever. The nurse would anticipate this as the most appropriate diagnostic test to confirm meningitis or other CNS infections.
D. Blood cultures are helpful for identifying systemic infection but are not the first step in diagnosing meningitis, where CSF analysis is more specific.

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A child with leukemia is receiving intrathecal chemotherapy. The nurse should recognize that intrathecal chemotherapy will prevent which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a parent of a child who has hemophilia how to control a minor bleeding episode. Which of the following statements by the parent Indicates a need for further teaching?

Correct Answer is D

Explanation

A nurse is assessing a 5-month-old infant who has had a seizure and high pitched crying with a high fever. The nurse anticipates the need for which diagnostic testing?

Correct Answer is C

Explanation

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A nurse is triaging a child who has suspected bacterial meningitis. The nurse recognizes which of the following as the initial action?

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A child with leukemia is receiving intrathecal chemotherapy. The nurse should recognize that intrathecal chemotherapy will prevent which of the following?

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