A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

Administer an antiemetic before chemotherapy begins

Encourage drinking large amounts of favorite fluids

Offer frequent small meals before and after chemotherapy

Provide the child's favorite music as a distraction

Answer and Explanation

The Correct Answer is A

A. Administer an antiemetic before chemotherapy begins is the most appropriate action. Chemotherapy-induced nausea and vomiting can be anticipated, so administering an antiemetic before treatment helps to prevent these symptoms from occurring. This proactive approach is standard practice to manage chemotherapy side effects.

B. Encourage drinking large amounts of favorite fluids may help with hydration, but it doesn't specifically target nausea or vomiting. It’s better to focus on a strategy to directly prevent these symptoms, such as using antiemetics.

C. Offer frequent small meals before and after chemotherapy may help with general appetite and nutrition, but it doesn't directly address nausea and vomiting from chemotherapy.

D. Provide the child's favorite music as a distraction can be helpful for comfort but does not address the underlying issue of chemotherapy-induced nausea and vomiting.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. 2-3 months is too early for palatoplasty, as the child’s palate and facial structures need time to develop. Surgical repair of the palate is typically done later, once the child is more developed.

B. 18-24 months is too late for the initial palatoplasty. Early intervention is preferred for speech development and other aspects of the child’s overall growth.

C. 6-12 months is the recommended age range for palatoplasty, as this is the time when the child’s palate has matured enough for surgery, and earlier intervention supports optimal outcomes for speech and facial development.

D. 4-5 years is too late for the first palatoplasty. However, additional surgeries or interventions may be needed during this age range as the child grows and their oral structures continue to develop.

A. Notify the adolescent's primary care provider. B. Collect a detailed past medical history. C. Perform a thorough assessment noting acute conditions D. Administer pain medication to the adolescent.

Correct Answer is C

Explanation

A. Notify the adolescent's primary care provider is incorrect. While it is important to notify the healthcare provider, the immediate priority is performing a thorough assessment to determine the severity of the head injury and any potential complications, such as changes in consciousness or neurological status.

B. Collect a detailed past medical history is incorrect. Although collecting medical history is important, it is not the priority in the acute phase of a suspected head injury. The priority is to assess the current condition of the adolescent, especially signs of deterioration.

C. Perform a thorough assessment noting acute conditions is correct. The priority in suspected head injuries is to perform a thorough assessment to evaluate the patient's neurological status. This includes checking for signs of a concussion, increased intracranial pressure, or any other acute conditions that may require immediate intervention.

D. Administer pain medication to the adolescent is incorrect. Pain management is important, but it should not be the first action when a head injury is suspected, as it can mask symptoms or affect the ability to assess neurological function properly.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At what age is it generally recommended to perform palatoplasty for a child with a cleft palate?

Correct Answer is C

Explanation

A nurse is caring for a 13-year-old adolescent in the pediatric emergency room who has a suspected head injury. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is assessing an infant following a motor vehicle crash. Which of the following findings should the nurse monitor to identify increased intracranial pressure?

Which assessment finding would the nurse expect in an infant with Hirschsprung's disease?

A nurse is providing teaching to the parent of an infant who has gastroesophageal reflux. Which of the following statements by the parent indicates an understanding of the teaching?

A child has been admitted to the pediatric unit. Her absolute neutrophil count is 225 and the child has been placed in neutropenic isolation. Which action by a nurse indicates that the nurse requires further education? (Select all that apply)

The nurse is providing teaching to the parents of a school-aged child newly diagnosed with Crohn's disease about dietary measures to implement during an exacerbation. Which statement made by the parents indicates a need for further instruction?

A child with a head injury is at risk for increased intracranial pressure (ICP). Which change in status would alert the nurse to believe an increase in ICP has occurred?

Which of the following is a complication of hemophilia?

A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select All that Apply.)