Neoplastic- Abnormal Tissue Growth (Ca+)

Question 1

What is a normal platelet count?

Answer 1

150,000-400,000

Question 2

The nurse notes that a Childs gums bleed easily & bruising and petechiae are evident in the extremities. What lab value is consistent with these sx’s?

a. platelet count of 19,000
b. prothrombin time of 11-15 secs
c. HCT- 34
d. leukocyte count of 14,000

Answer 2

a. platelet count of 19,000

count low= increased bleeding risk

Question 3

What is the normal HCT?

Answer 3

35-45

Question 4

a leukocyte count of 14,000 can indicate a

Answer 4

infection

Question 5

chemotherapy precautions?

Answer 5

bone marrow suppression

Question 6

The nurse should base a response to a parents question about the prognosis of acute lymphoblastic leukemia (ALL) on which information?

a. leukemia is a fatal disease although chemotherapy provides increasingly longer periods of remission
b. research to find a cure for a childhood cancers is very active
c. the majority of children go into remission and remain symptom free when treatment is completed
d. it usually takes several months of chemotherapy to achieve remission

Answer 6

c. the majority of children go into remission and remain symptom free when treatment is completed

Question 7

What is the most common form of leukemia?

Answer 7

ALL
acute lymphoblastic leukemia

ALL can almost always achieve remission

5 year disease free survival rate of 85%

Children can survive >5 years or longer

About 95% of children achieve remission within the first month of chemo

Question 8

Bone marrow transplant is the standard treatment for which childhood cancer?

Answer 8

acute myeloblastic leukemia (AML)

Question 9

Treatment for non-hod gins lymphoma

Answer 9

chemotherapy

Question 10

a child with a h/o fever excessive bruising, lymphadenopathy and fatigue is exhibitingg what?

Answer 10

leukemia

Question 11

A nurse assesses a whitish reflection instead of the expected red reflex when evaluating an infants eyes/ which action should the nurse take?

Answer 11

notify MD

leukocoria- whitish reflex in the eye retinoblastoma

Question 12

Leukemia nursing dx priority ?

Answer 12

risk for infection related to immunocompromised state

Question 13

Fever of unknown origin, exccessive bruising, lymphadenopathy and fatigue show

Answer 13

bone marrow failure
& organ infiltration

signs of leukemia

Question 14

Neuroblastoma

Answer 14

abdominal
chest
bone
joint
MASS

Question 15

Leukemia

Answer 15

proliferation of immature white blood cells which lack the ability to fight infection.

Question 16

Ineffective breathing pattern related to mediastinal disease

Answer 16

non-Hodgkins lymphoma

Question 17

What test confirms the dx of leukemia?

Answer 17

bone marrow biopsy

Question 18

Education for leukemia?

Answer 18

Check sons temperature sign of infection in an immunocompromised child

Question 19

Wilms tumor

Answer 19

do not palpate the abdomen because the tumor spreads malignant cells

Question 20

A child with acute lymphocytic leukemia (ALL) is getting chemo what is the risk for tumor lysis syndrome?

Answer 20

kidney failure

intracellular electrolytes overload the kidney as a response to the rapid lysis of the cells

Question 21

Brain tumor in an infant

Answer 21

increased head circumference

Question 22

Which is an expected physical finding for an adolescent with dx of Hodkins disease?

Answer 22

enlarged, painless firm cervical lympth nodes

with unexplained fever, night sweats, weight loss

Question 23

protuberant abdomen

Answer 23

neuroblastoma

found mostly in infants and children