A nurse is caring for a toddler who received radiation therapy 2 years ago for a brain tumor. Which of the following should the nurse identify as a late adverse effect of the radiation therapy?
Mucosal ulceration
Nausea
Desquamation
Short stature
The Correct Answer is D
A. Mucosal ulceration – This is an acute side effect of radiation therapy, not a late adverse effect.
B. Nausea – Nausea is a short-term side effect that occurs during or shortly after radiation therapy.
C. Desquamation – Skin peeling (desquamation) is a common acute reaction to radiation but is not considered a late effect.
D. Short stature – Radiation therapy in young children can affect growth, particularly if the brain or spine is irradiated. Damage to the pituitary gland can lead to growth hormone deficiency, resulting in delayed growth and short stature, which are considered late effects of radiation therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will lay my baby on their side to sleep for naps." The supine (on the back) position is the safest for sleep to reduce the risk of SUIDS.
B. "I will dress my baby in lightweight clothing to sleep." Overheating is a risk factor for SUIDS. Lightweight clothing helps prevent overheating and promotes safe sleep.
C. "I will have my baby sleep next to me in bed during the night." Bed-sharing increases the risk of suffocation and SUIDS. Room-sharing with a separate sleep surface is recommended.
D. "I will move my baby's stuffed animal to the corner of their crib while they sleep." Soft objects, including stuffed animals and blankets, should not be in the crib at all to reduce the risk of suffocation.
Correct Answer is B
Explanation
A. "It is okay to blame others for your feelings." Blaming others is a negative coping mechanism that does not help the child manage emotions in a healthy way.
B. "When you feel angry and overwhelmed, take some deep breaths." Deep breathing is a positive coping strategy that helps reduce stress and manage emotions effectively.
C. "Take a break from group activities when you are stressed." Social support is an important stress reliever, and withdrawing from activities may lead to isolation and worsen stress.
D. "Keep your strong feelings to yourself." Bottling up emotions can lead to increased stress and anxiety. Children should be encouraged to express their feelings in a healthy way.
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