Patient Safety

The nurse is providing education to the parent of a four-year-old who has recently been diagnosed with acute lymphocytic leukemia and is about to have the first round of chemotherapy. Which of the following topics would be most appropriate to discuss?

The nurse has been asked to assist with a lumbar puncture for a 15-year-old client who has recently been diagnosed with AML. The nurse is explaining the procedure to the family and informs them that the client will need to be in which of the following positions? Select all that apply.

The charge nurse on a pediatric ward is making assignments for the shift. One of the clients admitted to the ward is a five-year-old with severe neutropenia and a fever. Which of the following clients would be most appropriate to assign with this client?

A nurse is performing the initial assessment of a child with a history of acute leukemia who was brought into the emergency department. The nurse discovers the child has a temperature of 38.5C. Which action is the first priority in this situation?

The nurse is caring for a five-year-old client who has ALL. This client has been receiving the chemotherapy drug Vincristine as a part of the treatment plan. The nurse knows to monitor for which of the following signs of neurological toxicity? Select all that apply.

The parent of a five-year-old boy who has just been diagnosed with acute lymphocytic leukemia (ALL) demonstrates an accurate understanding of the side effects of steroids with which of the following statements? Select all that apply.

The parents of a child who has just been diagnosed with a nephroblastoma demonstrate an accurate understanding of the treatment plan by stating which of the following?

The nurse is caring for a three-year-old client who has just been admitted with a possible diagnosis of nephroblastoma. During the assessment of this client the nurse notes which of the following as a possible clinical manifestation of this tumor?

An experienced nurse is observing a new nurse assessing a 7-year-old child with nephroblastoma. The experienced nurse should intervene if the new nurse is observed doing which of the following?

The nurse is taking care of a one-year-old client who has just undergone surgery to have a nephroblastoma removed. The nurse knows it is important to include which of the following in the nursing care plan? Select all that apply.

The provider has ordered a nephrostomy tube for a client in the nurse’s care. How should the nurse explain the procedure for nephrostomy tube placement to the client?

The nurse is precepting a student who is caring for a two-year-old client just admitted with a possible diagnosis of nephroblastoma. Prior to the student assessing the child, which of the following would be the most important things to discuss with the student?

The nurse caring for a child just diagnosed with Wilms Tumor explains to the parent that the tumor originates from which of the following type of cells?

When providing end-of-life care to a 4-year-old child who is dying of cancer, which of the following interventions would be utilized to ensure that the nurse is providing adequate pain control?

During an assessment of a five-year-old, the nurse notices an abdominal mass that crosses the midline of the abdomen. The nurse knows this to be a potential sign of which pediatric cancer?

The parent has brought a two-year-old to the clinic due to concerns of a lingering fever and an increasing amount of bruising. The nurse knows to expect which of the following diagnostic tests to be ordered first?

The nurse is caring for a client whose absolute neutrophil count is 100/mm3. The parent asks what this means. The nurse accurately responds with which of the following statements?

The parent of a seven-year-old is concerned about some recent health problems the child has been having. The nurse understands which of the following statements made by the parent to be most concerning?

The nurse is assessing a child whose parent is concerned about a white glow seen in the child’s eye. The nurse know this could be a sign of which of the following pediatric diagnoses?

The nurse is caring for a neonate that is diagnosed with early onset Group B-Streptococcus meningitis. Which of the following antibiotics will the nurse plan on administering?

The nurse knows that in which of the following clinical scenarios would a lumbar puncture be contraindicated? Select all that apply.

A nurse is discharging a 7-year-old after being treated for bacterial meningitis. Which of the following client needs should the nurse include in the discharge teaching?

The nurse is caring for an infant that has been diagnosed with meningitis. The infant is irritable with a high pitched cry, and the nurse notes bulging fontanels and distended scalp veins. Which of the following interventions are appropriate for this infant? Select all that apply.

An adolescent has presented to the emergency room with meningeal symptoms and is assigned a nurse. The nurse knows to expect which of the following symptoms for this client? Select all that apply.