The nurse is taking care of an adolescent with osteosarcoma. The parents ask the nurse about treatment. The nurse should make which accurate response about treatment for osteosarcoma?

Bone marrow transplantation offers the best chance of long-term survival

Treatment usually consists of surgery and chemotherapy

Intensive irradiation is the primary treatment

Amputation of the affected extremity is rarely necessary

Answer and Explanation

The Correct Answer is B

A. Bone marrow transplantation offers the best chance of long-term survival is incorrect. Bone marrow transplantation is not the primary treatment for osteosarcoma. Treatment typically focuses on surgery and chemotherapy.

B. Treatment usually consists of surgery and chemotherapy is correct. The main treatment for osteosarcoma involves a combination of surgery (to remove the tumor) and chemotherapy (to treat any potential metastasis). This approach is the standard for achieving long-term survival in most cases.

C. Intensive irradiation is the primary treatment is incorrect. While radiation therapy can sometimes be used, it is not the primary treatment for osteosarcoma. Surgery and chemotherapy are the main modalities.

D. Amputation of the affected extremity is rarely necessary is incorrect. While limb-sparing surgery is often possible, amputation may still be required in some cases, depending on the location and extent of the tumor. Thus, saying amputation is rarely necessary may be misleading.

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Correct Answer is C

Explanation

A. The nurse monitors the child's vital signs every 2 to 4 hours is appropriate. Regular monitoring of vital signs is important in children with neutropenia to detect early signs of infection or sepsis.

B. The nurse carefully washes his/her hands before and after providing care is appropriate. Hand hygiene is critical in preventing the transmission of infection, especially in neutropenic patients who are at high risk of infections.

C. The child has been placed in a semi-private room requires further education. A child with a neutrophil count of 225 is at significant risk of infection, and placing the child in a semi-private room increases the risk of exposure to pathogens. The child should be placed in a private room to minimize exposure to infectious agents.

D. The nurse assesses the child for clinical signs of an infection is appropriate. Vigilant monitoring for infection is essential in neutropenic patients, as they are more susceptible to infections.

A. The tumor is located in the lower back of the brain in the midline posterior fossa. B. The tumor originated in the adrenal glands. C. The tumor has not spread to other areas of the child's body. D. The tumor came from malformation of astrocyte glial brain cells.

Correct Answer is B

Explanation

A. The tumor is located in the lower back of the brain in the midline posterior fossa is incorrect. This description is more characteristic of a cerebellar or brainstem tumor, not neuroblastoma.

B. The tumor originated in the adrenal glands is correct. Neuroblastoma typically arises from the adrenal glands, though it can also develop in nerve tissue along the spine, neck, chest, or pelvis.

C. The tumor has not spread to other areas of the child's body is incorrect. Neuroblastoma often metastasizes to other parts of the body, such as the bones, lymph nodes, liver, and skin.

D. The tumor came from malformation of astrocyte glial brain cells is incorrect. This describes gliomas, which are a different category of brain tumors, not neuroblastoma.

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The nurse is taking care of an adolescent with osteosarcoma. The parents ask the nurse about treatment. The nurse should make which accurate response about treatment for osteosarcoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child has been admitted to the pediatric unit. Her absolute neutrophil count is 225 and the child has been placed in neutropenic isolation. Which action by a nurse indicates that the nurse requires further education? (Select all that apply)

Correct Answer is C

Explanation

A nurse is caring for a child who has been diagnosed with malignant neuroblastoma. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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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.)

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