Cancer

Question 1

SCIDS

Answer 1

severe combined immunodeficiency disease

Absence of humoral and cell mediated immunity

Question 2

treatment for SCIDS

Answer 2

IV. I G.
Sterile environment
Bone marrow transplant

Question 3

Aids transmission in kids

Answer 3

not exposed to as much illness, decreased protection/immunity

Unprotected sex
Maternal breast milk, perinatal, blood transfer

Question 4

when can HIV be detected in children?

Answer 4

PCR greater than one month old

Question 5

Treatment for HIV in children

Answer 5

Antiretroviral therapy
Antibiotics, prophylaxis
Modified vaccine schedule

Question 6

nursing care for HIV

Answer 6

Increased protein, calories, supplements

Safe sex
Don’t share needles
Universal precautions

Question 7

what age groups are more common for HIV

Answer 7

Adolescence – risky behavior
Newborn - perinatal

Question 8

neuroblastoma sx

Answer 8

Headache
Vomiting
Unsteady gait
Seizures
Head tilt

Question 9

Postop nursing care for neuroblastoma

Answer 9

keep head midline
Decrease ICP
NPO
Eyecare

Question 10

which type of lymphoma has Reed Steinberg cells

Answer 10

Hodgkin’s lymphoma

Question 11

rhabdomyosarcoma

Answer 11

Vague symptoms
Involves head, neck, do you, extremities

Often diagnosed late

Question 12

wilms tumor

Answer 12

Neoplasm of kidney
Encapsulated

Question 13

Priority, nursing care with Wilms tumor

Answer 13

handle and bathe carefully to avoid rupture

No more palpation once suspected

Question 14

retinoblastoma

Answer 14

Retinal cell tumor
Cat’s-eye reflex

Question 15

Retinoblastoma treatment care

Answer 15

sibling screening – Q1-3 weeks
Try to preserve unaffected eye
Large pressure dressing
Safety glasses

Question 16

leukemia

Answer 16

Stem cells in bone marrow produce immature, WBC

Anemia, thrombocytopenia, neutropenia

Question 17

sx leukemia

Answer 17

Fever
Bleeding tendencies
Lethargy
Petechiae
Frank blood
Fatigue

Question 18

T/F chemo crosses the blood brain barrier

Answer 18

False
Needs lumbar puncture, intrathecal IV chemo to reach the brain

Question 19

what are expected adverse effects from chemo?

Answer 19

Nausea, vomiting
Alopecia
Oral mucositis
Myelosuppression
Risk of infection

Question 20

Nursing interventions for stomatitis

Answer 20

use antifungal/antibiotic, mouthwash
Rinse with normal saline
Magic, mouthwash
Food such as milkshakes

Question 21

hemorrhagic cystitis

Answer 21

Emergency
Blood in urine, bladder pain

Question 22

what medication is used to treat hemorrhagic cystitis

Answer 22

Mesna

Encourage fluids !!

Question 23

tumor lysis syndrome

Answer 23

Tumor cell destruction, leading to high levels of uric acid, potassium, phosphorus in blood

Question 24

treatment for tumor lysis syndrome

Answer 24

Allopurinol

Hydration !!

I/O, Daily weight, PH, urine SPG

Question 25

what type of vaccines are contraindicated less than three months after Chemo stopped

Answer 25

Live vaccines

Question 26

what type of vaccines can be taken two weeks before/during chemo?

Answer 26

Inactivated

Question 27

what type of activity should be avoided with osteogenic sarcoma and Ewing sarcoma?

Answer 27

Weight-bearing
Active play