A nurse is creating a plan of care for a pediatric client who has been diagnosed with osteosarcoma and will be receiving chemotherapy with radiation interventions. The nurse should monitor the client for which of the following expected adverse effects? (Select All that Apply.)

Nausea

Hair loss

Diarrhea

Skin Sensitivity

Weight gain

Answer and Explanation

Correct Answer : A,B,C,D

A. Nausea is a common side effect of both chemotherapy and radiation therapy. Antiemetics are often used to manage this adverse effect.

B. Hair loss is a well-known side effect of chemotherapy, as it affects rapidly dividing cells, including those in hair follicles. Radiation therapy to the head or neck area can also cause localized hair loss.

C. Diarrhea is a potential side effect of chemotherapy and radiation, particularly when the digestive tract is affected. Some chemotherapies and radiation treatments irritate the gastrointestinal system, leading to diarrhea.

D. Skin Sensitivity can result from radiation therapy, especially in the treated area. The skin may become red, irritated, and sensitive.

E. Weight gain is not typically associated with chemotherapy or radiation therapy. In fact, many children experience weight loss due to nausea, decreased appetite, or other side effects.

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Correct Answer is A

Explanation

A. Increased appetite is not an expected finding in a child with iron deficiency anemia. Children with iron deficiency anemia typically experience a reduced appetite or may develop pica (craving non-food substances) rather than an increased appetite.

B. Pallor is a common sign of iron deficiency anemia, as a lack of iron reduces the number of red blood cells and the amount of hemoglobin, leading to pale skin and mucous membranes.

C. Tachycardia is a compensatory response to anemia, as the heart works harder to deliver oxygen to tissues due to a reduced capacity of the blood to carry oxygen.

D. Brittle spoon-shaped nails (koilonychia) are a classic physical finding in iron deficiency anemia, caused by the reduced oxygen delivery to the nails and skin.

A. Most children with febrile seizures do not require seizure medicine B. My child's 4-year-old sibling is also at high risk for febrile seizures C. I will give my child acetaminophen when she has a fever to prevent her temperature from rising rapidly D. My child will now take anticonvulsants every day to prevent seizures E. My child could have another febrile seizure

Correct Answer is ["A","C","E"]

Explanation

A. Most children with febrile seizures do not require seizure medicine is correct. Febrile seizures are typically self-limiting and do not require daily anticonvulsant therapy. Most children outgrow them.
B. My child's 4-year-old sibling is also at high risk for febrile seizures is incorrect. Febrile seizures most commonly occur in children between 6 months and 5 years old, so the 4-year-old sibling is not necessarily at high risk.
C. I will give my child acetaminophen when she has a fever to prevent her temperature from rising rapidly is correct. While acetaminophen may help lower fever, it should be used cautiously and only to prevent fever from becoming very high quickly.
D. My child will now take anticonvulsants every day to prevent seizures is incorrect. Anticonvulsants are generally not needed for febrile seizures unless there is a specific medical indication, such as recurrent seizures not related to fever.
E. My child could have another febrile seizure is correct. Children who have had a febrile seizure are at an increased risk of experiencing another one, especially if they continue to have fevers.

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A nurse is creating a plan of care for a pediatric client who has been diagnosed with osteosarcoma and will be receiving chemotherapy with radiation interventions. The nurse should monitor the client for which of the following expected adverse effects? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child with iron deficiency anemia. Which of the following is NOT an expected finding?

Correct Answer is A

Explanation

The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile seizure. The nurse knows that the parents understand the teaching when the parents make which statement(s)? (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

The nurse is monitoring an infant for signs of increased intracranial pressure (ICP). Which are late signs of increased intracranial pressure (ICP) in an infant?

A child with hemophilia is experiencing a bleeding episode. After applying pressure to the bleeding site, what is the priority intervention?

A nurse is assisting with the plan of care for a 6-month-old infant who has a cleft palate. Which area should the nurse consider when addressing the child's overall development?

When administering oral iron supplements to a client with anemia, which nursing action is most important to ensure optimal absorption of the medication?

Which of the following accurately describe the differences between vaso-occlusive crisis, sequestration crisis, and aplastic crisis in sickle cell anemia? (Select All that Apply.)

A nurse is creating a plan of care for a pediatric client who has been diagnosed with rhabdomyosarcoma. Which of the following factors should the nurse consider as the highest priority when planning treatment interventions?

A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select All that Apply.)

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