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 ["B","D","E"]

Explanation

A. Swelling in all extremities is not typically a symptom of VSD; it may indicate a different cardiac or renal issue.
B. Frequent lung infections are common in children with VSD due to pulmonary congestion.
C. Standard weight and growth percentile is not typical for VSD, as the child may experience failure to thrive.
D. Dyspnea occurs due to increased blood flow to the lungs and pulmonary congestion.
E. A heart murmur is a hallmark of VSD, heard due to the abnormal flow of blood through the septal defect.

A. Do not touch stent or dressings B. Give tub bath after 48 hours C. Maintain fluid restriction D. Give anticholinergic medication

Correct Answer is A

Explanation

A. The nurse should avoid manipulating the stent or dressings to prevent dislodging or introducing infection.
B. Tub baths should be avoided until healing occurs, typically after the wound has been sufficiently healed.
C. Fluid restriction is not necessary unless prescribed for another condition.
D. Anticholinergic medications are not indicated unless there is a specific need, such as managing bladder spasms.

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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

The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for a 2-month-old infant with epispadias post-op surgical revision with a stent placement. What interventions should the nurse expect during post op care?

Correct Answer is A

Explanation

A nurse is caring for a child with a diagnosis of Duchenne's muscular dystrophy (DMD). The nurse should recognize that which of the following accurately describes Duchenne muscular dystrophy (DMD)? (Select All that Apply.)

A nurse is teaching a newly diagnosed client about B-thalassemla major (Cooley anemla). What response by the client indicates correct understanding of Chelation therapy?

A nurse is caring for a child who has undergone a Ventriculoperitoneal (VP) shunt placement procedure. The nurse is aware of the need for careful prioritization of care. Which of the following actions should the nurse prioritize for this child?

A nurse is caring for a child with Osteogenesis Imperfecta type 3. Which of the following interventions should the nurse implement for this child? SELECT ALL THAT APPLY

The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

A 2-year-old child presents to the hospital with a fever of 38.4 Celsius and the parents state the child has had dysuria and Irritability, with a loss of appetite. What diagnostic test should the nurse expect to be ordered first based on the symptoms?

The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to Implement?

A home health nurse is developing a plan of care for a child diagnosed with hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?