A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

Administer an antiemetic before chemotherapy begins

Encourage drinking large amounts of favorite fluids

Offer frequent small meals before and after chemotherapy

Provide the child's favorite music as a distraction

Answer and Explanation

The Correct Answer is A

A. Administer an antiemetic before chemotherapy begins is the most appropriate action. Chemotherapy-induced nausea and vomiting can be anticipated, so administering an antiemetic before treatment helps to prevent these symptoms from occurring. This proactive approach is standard practice to manage chemotherapy side effects.

B. Encourage drinking large amounts of favorite fluids may help with hydration, but it doesn't specifically target nausea or vomiting. It’s better to focus on a strategy to directly prevent these symptoms, such as using antiemetics.

C. Offer frequent small meals before and after chemotherapy may help with general appetite and nutrition, but it doesn't directly address nausea and vomiting from chemotherapy.

D. Provide the child's favorite music as a distraction can be helpful for comfort but does not address the underlying issue of chemotherapy-induced nausea and vomiting.

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Correct Answer is C

Explanation

A. Gross motor skill development is important for an infant’s overall development, but it is not the primary focus when caring for an infant with a cleft palate. Gross motor skills typically develop at a normal rate unless there are additional concerns.

B. Fine motor skill development is also important, but for an infant with a cleft palate, the primary concern is related to communication and feeding difficulties. Fine motor development generally follows the same trajectory unless there are complicating factors.

C. Speech and language acquisition is the most important area to focus on when planning care for an infant with a cleft palate. A cleft palate can significantly impact the infant’s ability to produce sounds and develop normal speech patterns. Early intervention and support from speech therapists are essential to address these issues.

D. Cognitive development is vital for all infants, but cleft palate primarily affects speech and feeding, making speech and language acquisition the most immediate concern for overall development.

A. Have blood work done B. Monitor intracranial pressure C. Recommend a CT scan D. Use the Glasgow cognitive scale

Correct Answer is D

Explanation

A. Have blood work done is not the initial priority for assessing cognitive status in a child with a suspected head injury. Blood work may be ordered later to assess for any contributing factors but is not the first step in cognitive assessment.

B. Monitor intracranial pressure is important but typically comes after an initial cognitive assessment. Elevated intracranial pressure may be suspected after assessing cognitive function and other neurological signs.

C. Recommend a CT scan might be ordered by a healthcare provider to assess for structural brain damage, but the initial assessment of cognitive status should be done first to evaluate the severity of the injury.

D. Use the Glasgow cognitive scale is the correct initial action. The Glasgow Coma Scale (GCS) is used to assess a child's level of consciousness and cognitive function following a head injury. It helps determine the severity of the injury and guides further intervention.

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A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is assessing a child who has a suspected head injury. What would be the initial action the nurse should take to assess the child's cognitive status?

Correct Answer is D

Explanation

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