Term
| Which cancer is considered embryonic in nature? |
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Definition
| Neuroblastoma, from the neural crest cells. |
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Term
| What type of tumor is a neuroblastoma? |
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Definition
| Fingerlike, not a solid mass. |
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Term
| What system does Hodgkin's Disease target? |
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Definition
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Term
| What kind of tumors does Hodgkin's disease create? |
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Definition
| Non-tender enlarged lymph nodes. |
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Term
| What does a biopsy look for on a suspected Hodgkin's disease tumor? |
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Definition
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Term
| What treatment is generally ineffective against osteocarcomas? |
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Definition
| Radiation, it's hard to penetrate the bones. |
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Term
| When a doctor orders a VMA or HVA test for Neurblastoma, what are they looking for? |
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Definition
| Increased catecholamines from the tumor itself. |
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Term
| A patient with suspected osteosarcoma comes in with soft tissue swelling, which form do you expect the diagnosis will be? |
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Definition
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Term
| A child comes in with an unexpected increase in in dilute urine. What does the nurse suspect is happening to the child? |
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Definition
| Diabetes Insipidus from pituitary issues caused by a brain tumor. |
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Term
| A young child goes into remission following radiation treatment and the nurse is preparing them for the future. What disease does the nurse caution the parents to look for? |
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Definition
| Osteosarcomas. They make up 30% of all secondary cancers. |
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Term
| A child is diagnosed with rhabdomyosarcoma, a cancer of the striated muscles. What treatment is most effective for them? |
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Definition
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Term
| A child comes in with a complaint of night sweats. What two conditions does the nurse consider as being causative? |
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Definition
| Hodgkin's and Tuberculosis |
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Term
| What is a normal platelet value? |
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Definition
|
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Term
| What is a normal hemoglobin value? |
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Definition
|
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Term
| What is a normal white blood cell count? |
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Definition
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Term
| A child is perscribed Nupigen to deal with their blood cell issues. Which cells does this effect? |
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Definition
| White Blood Cell production |
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Term
| A child is being given Epigen while dealing with their cancer treatment. What is being affected by this medication? |
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Definition
| Red blood cell production is increased. |
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Term
| Adriamiacin is being given to a child as part of their cancer therapy. What diagnostic test does the nurse anticipate being requested for the child? |
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Definition
| ECG, Chest Xray and/or echocardiography. |
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Term
| A child taking Adriamiacin tells the nurse he is experiencing chest pain at medication time. What is the priority nurse action? |
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Definition
| Call the physician for a heart scan, do not administer the medication, it may be cardiomyopathy. |
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Term
| Where are the majority of brain cancers in children located? |
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Definition
| infratentorial line (brainstem and cerebellum) |
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Term
| A child has a white blood cell count of 2000 cells/mm^3 and a neutrophil count of 800 cells/mm^3. What should be recommended for the child? |
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Definition
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Term
| A child begins vomiting without feeling sick beforehand. What does the nurse suspect? |
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Definition
| An increase in ICP leading to vomiting. |
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Term
| A child has been exposed to a group A streptococcal infection. 2 weeks later the child develops rheumatic fever, for what other disease should the nurse assess the child? |
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Definition
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Term
| How does glomerulonephritis damage the kidney? |
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Definition
| Inflammation of the glomeruli occurs. This causes destruction and sclerosis of the glomeruli. |
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Term
| What are the 4 causes of glomerulonephritis? |
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Definition
| Immune disorders, autoimmune diseases, group A strep, pharyngitis or tonsillitis. |
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Term
| A child with glomerulonephritis starts peeing tea colored urine. What is happening with the child? |
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Definition
| Hematuria, blood in the urine stream. ALert the physician. |
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Term
| What lab values does the nurse expect to be different with a child with glomerulonephritis? |
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Definition
| BUN, Creatinine and Protein will all be higher. |
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Term
| A child with glomerulonephritis begins showing signs of edemea. Diuretics are prescribed, what else should the nurse initiate? |
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Definition
| Seizure precautions. Hypertensive Encephalopathy may be present. |
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Term
| A child diagnosed with uncontrolled diabetes has developed large amounts of foam in their pee and hs some swelling, what does the nurse suspect? |
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Definition
Nephrotic Syndrome.
Massive proteinuria, hypoalbuminemia and edema
(Too much protein leaving the kidneys due to damage lowers the oncotic pressure, leading to edema.) |
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Term
| What treatment do you expect to be offered for a child who has nephrotic syndrome? |
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Definition
| Corticosteroids to reduce swelling. Diuretics to reduce edema. |
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Term
| A three year old is admitted to the clinic with anemia, thrombocytopenia and kidney failure. What disease is suspected? |
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Definition
| Hemolytic-Uremic syndrome. |
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Term
| What lab values does a nurse expect to be different with a child who has hemolytic-Uremic syndrome? |
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Definition
| BUN and Creatinine elevated, Hemoglobin and hematocrit lower. |
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Term
| A nurse suspects a child has hemolytic-uremic syndrome and takes a urinalysis sample. What finding confirms her suspicion? |
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Definition
| The presence of urinary casts. |
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Term
| A child has been prescribed Dilantin/Phenytoin for their seizures. What supplements should the nurse suggest the child take? |
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Definition
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Term
| A child on Phenytoin/Dilantin for seizures has been told they need to visit the dentis for what condition? |
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Definition
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Term
| A child with seizures taking the medication Depakote/Depakane is monitored carefully for what condition? |
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Definition
| Elevated liver enzymes, showing liver damage |
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Term
| The seizure Gabapentin/Neurontin can cause which blood disorder? |
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Definition
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Term
| A child with a Glasgow Coma Scale of less than 8 shows signs of hypertension, bradycardea and apnea. What is the nurse observing? |
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Definition
| Severe brain injur with cushing's Triad |
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Term
| What is the defining vertebral location that distinguishes between Quadriplegia and Paraplegia? |
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Definition
| C8-T1. C8 is quadriplegia, T1 is paraplegia. |
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Term
| A child has swelling in the brain and the nurse is wondering where the obstruction might be. What 2 locations are most common? |
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Definition
| Aquaduct of Sylvius, Foramen Monroe |
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