Manifestations of cancer in the pediatric patient vary by type and location but typically include which of the following general manifestations? Standard Text: Select all that apply
1. Infection
2. Weight gain
3. Polycythemia
4. Neurologic symptoms
5. Pain
6. Cachexia
1,4,5,6
Rationale 1: Infection related to decreased immune function is common.
Rationale 2: Weight gain is incorrect; children with cancer are generally anorexic, have nausea and vomiting, and have early satiety.
Rationale 3: Anemia occurs rather than polycythemia.
Rationale 4: Neurologic symptoms can occur from impingement on the brain or nervous system.
Rationale 5: Pain results from neoplasms directly or indirectly affecting nerve receptors.
Rationale 6: Cachexia occurs secondarily to anorexia and nausea and vomiting.
Global
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Upon arrival on the psychiatric unit this morning, which activity should be the nurse's focus? The nurse should do which of the following?
1. Review psychological testing results for all clients. 2. Schedule the individual therapy sessions for all clients. 3. Identify community resources for clients to be discharged this morning. 4. Assess each client for whom the nurse will be providing care.
The nurse has performed a nutritional assessment and determined that several lifestyle modifications will need to be made. The nurse will want to include which other professional?
1. Dietician 2. Physician 3. Occupational therapist 4. Clergy
The nurse is caring for a patient who is comatose after a traumatic brain injury. Which of the following would be important for the nurse to include when planning for this patient's nutritional needs?
1. limit protein intake to encourage the body to utilize circulating blood glucose 2. ensure adequate protein intake to maintain a positive nitrogen balance 3. plan to implement hyperalimentation as soon as possible 4. provide adequate calories in the form of carbohydrates and fats
The nurse is caring for a patient who has just experienced a stillbirth
Which factors does the nurse recognize as potentially complicating the parents' response to this loss? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Unsupportive family 2. Adolescent mother 3. Strong religious faith 4. Open communication between the parents 5. Persistent denial of the situation