LECTURE - RATIONALIZATION (4 th EXAM) Flashcards
Common early sign of retinoblastoma.
Leukocoria (white pupil)
Most common sign will manifest in what long
bones (Ewing sarcoma)
Femur
Why is surgery needed for Ewing sarcoma?
To achieve complete resection of the
tumor
What is the indication of Hodgkin’s disease that
can be seen when using a microscope?
Reed Stenberg’s cell
Potential side effects of prednisone in treating
ALL?
Hyperglycemia
Classic triad for Wilm’s tumor
Abdominal mass, pain and hematuria
Hepatoblastoma in children
enlarged liver or mass
Primary goal of treatment for retinoblastoma
preservation of the eye
Surgery for Wilm’s tumor
nephrectomy
Safety measure for ALL and neutropenia.
Strict infection control measures
Post-operative measure after surgery with
Ewing’s sarcoma.
Administering pain medication as
needed.
Blood transfusion for patient with leukemia,
during the process the patient experiences
itchiness and rashes, what should be done
immediately
stop the transfusion and run normal
saline
The child has a white glow of eye.
Schedule eye exam for pediatric
ophthalmologist.
Nursing intervention after bone marrow biopsy
for child with suspected lymphoma.
monitor signs of infection and providing
wound care.
A child with suspected ALL is scheduled for
biopsy and he is anxious and fearful, what
should you do as a nurse.
Provide age-appropriate…..
Side effect of liver cancer treatment is alopecia,
what should you do as a nurse
provide emotional support
What should you first asses during blood
transfusion.
Vital signs
Nursing diagnosis: Tissue integrity (undergoing
radiation for Hodgkin’s’ disease).
clean the skin daily with a mild soap.
Juvenile diabetes mellitus (common cause).
Autoimmune destruction of beta cells
Classical galactosemia
Galactose 1 phosphate
Common sign of pyloric stenosis.
projectile vomiting
Common cause of stomatitis.
All of the above (bacterial/ parasital….
Etc.)
Transmission of Hepatitis B
blood and body fluids
Galactosemia management and teaching
strict adherence to galactose-free diet is
crucial
Most needed dietary supplement for children.
vitamin D
NSVD with Hepa B (nursing intervention for
newborn).
Administering Hepa B vaccine
School age child with diabetes is experiencing
dizziness and confusion.
Provide sugary snacks or drinks
Cause of loss of appetite (stomatitis)
Painful sores in mouth
ABG’s lab test (Hepa B – test)
elevated serum
Soft spot in head and the child appears weak
Dehydration
Administering oral dehydration solution to
patient with AGE.
monitor signs of over dehydration
Role of nurse in school during a symposium
about diabetes mellitus in children
Educate the school staff about DM
management.
Pyloromyotomy (health teaching)
Need to monitor signs of infection in
incision site
What medication is needed for spasticity
(cerebral palsy).
Muscle relaxants
What procedure should be done to patients with
curling ulcer due to severe burns.
upper gastrointestinal endoscopy
Discharge planning for patient with cerebral
palsy in the aspect of child’s communication.
Recommend strategies to enhance
communication skills.
Transmission of botulism
ingestion of contamination foods and honey
Psychological symptoms of bacterial meningitis.
worsens sleep patterns
Not common cause of bacterial meningitis
eschericia coli.
Lab testing for bacterial meningitis
Lumbar puncture
A child is asking to buy a non-prescribed
medication.
Assess the child’s understanding of med
safety.
4 years old with fever and neck stiffness
(hallmark sign of bacterial meningitis).
Positive Brudzinski’s sign
5 years old with cerebral palsy (increase muscle
tone with stiff leg or hypertonia.
Spasticity
Mental health care for adolescents
Collaboration with other healthcare
provider
What causes adolescents’ mood swings and
stress level to increase.
overwhelming academic pressure
Indication of antacids for treating curling ulcer
reduce gastric acid secretion
How to prevent complication of immobility with
patient who has a blurred vision and muscle weakness.
providing a range of motion activity
How does botulism causes poor feeding and
weak cries.
By producing toxins that affects the nervous system.
Upper GI bleeding due to severe burns
Notify healthcare provider
Cebral palsy (concern with feeding difficulties)
Suggest curated and soft food
