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.)

Nausea

Hair loss

Diarrhea

Skin Sensitivity

Weight gain

Answer and Explanation

Correct Answer : A,B,C,D

A. Nausea is a common side effect of both chemotherapy and radiation therapy. Antiemetics are often used to manage this adverse effect.

B. Hair loss is a well-known side effect of chemotherapy, as it affects rapidly dividing cells, including those in hair follicles. Radiation therapy to the head or neck area can also cause localized hair loss.

C. Diarrhea is a potential side effect of chemotherapy and radiation, particularly when the digestive tract is affected. Some chemotherapies and radiation treatments irritate the gastrointestinal system, leading to diarrhea.

D. Skin Sensitivity can result from radiation therapy, especially in the treated area. The skin may become red, irritated, and sensitive.

E. Weight gain is not typically associated with chemotherapy or radiation therapy. In fact, many children experience weight loss due to nausea, decreased appetite, or other side effects.

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Correct Answer is D

Explanation

A. Have blood work done is not the initial priority for assessing cognitive status in a child with a suspected head injury. Blood work may be ordered later to assess for any contributing factors but is not the first step in cognitive assessment.

B. Monitor intracranial pressure is important but typically comes after an initial cognitive assessment. Elevated intracranial pressure may be suspected after assessing cognitive function and other neurological signs.

C. Recommend a CT scan might be ordered by a healthcare provider to assess for structural brain damage, but the initial assessment of cognitive status should be done first to evaluate the severity of the injury.

D. Use the Glasgow cognitive scale is the correct initial action. The Glasgow Coma Scale (GCS) is used to assess a child's level of consciousness and cognitive function following a head injury. It helps determine the severity of the injury and guides further intervention.

A. Age of the child B. Range of motion in the affected area C. Health complications from the tumor D. Whether or not the tumor has metastasized

Correct Answer is D

Explanation

A. Age of the child is important in determining the approach to treatment and potential outcomes, but the priority in planning treatment is addressing the extent of the disease, particularly whether it has spread. Age may influence treatment choices but is secondary to assessing metastasis.

B. Range of motion in the affected area is important in managing functional outcomes, especially for tumors that affect muscles or joints, but the highest priority when planning care is understanding the extent of the disease, specifically metastasis, before focusing on rehabilitation.

C. Health complications from the tumor are significant for symptom management and treatment planning, but the critical first step in treatment is determining the stage of the cancer and whether the tumor has spread. This information guides treatment decisions.

D. Whether or not the tumor has metastasized is the highest priority. The spread of the tumor (metastasis) directly impacts the treatment plan and prognosis, influencing decisions such as the need for systemic therapies (chemotherapy) in addition to local treatments like surgery or radiation.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who has a suspected head injury. What would be the initial action the nurse should take to assess the child's cognitive status?

Correct Answer is D

Explanation

A nurse is creating a plan of care for a pediatric client who has been diagnosed with rhabdomyosarcoma. Which of the following factors should the nurse consider as the highest priority when planning treatment interventions?

Correct Answer is D

Explanation

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