Childhood Cancer

The mother of a 7-year-old with a brain tumor has just learned that cancer is now also found in her child's spine. Which response by the nurse addresses the mother's concerns?

-"Cancer cells spread by invasion of other tissues."-"Cancer cells spread by metastasis to distant body sites.

The nurse is caring for a child with suspected cancer. Which signs and symptoms should the nurse expect to note on assessment?

-Fatigue-Headache-Weight loss-Lymphadenopathy

The nurse is preparing a 4-year-old for bone scintigraphy. Which action is appropriate for the nurse to take?

Provide mild sedative to the patient if ordered

four-year-old patient receiving chemotherapy reports gum inflammation, nausea, and a burning sensation in the stomach. Which other symptom might the nurse expect?

Hair Loss

The parents of a 3-year-old patient who is undergoing radiation therapy ask the nurse why radiation is necessary. What is the best response from the nurse?

To promote bone marrow suppression.""To prevent further growth of the cancer cells.""To eliminate cancer cells.

Biologic agents

enhance cell recovery

Steroid therapy

an adjunct for nausea control

CAM Therapies

Replace conventional therapy based on current scientific research

How can the nurse explain the difference between bone marrow transplantation and stem cell transplantation?

Stem cells are infused into the blood stream. Bone marrow replaces the contents of long bones.

Which situation identifies an environment in which a child may be at increased risk of developing cancer?

Exposure to radiation from repeated computed tomography (CT) scans

The nurse is preparing a 3-year-old patient for a positron emission tomography (PET) scan to diagnose a neck mass. The child's caregiver asks what will be done to prevent potential discomfort and restlessness of the child during the procedure. What should the nurse respond?

Your child will be sedated prior to the procedure.

The mother of a 5-year-old patient reports unexplained weight loss in the child over the past month, frequent epistaxis, and persistent diarrhea. Which other findings support a possible diagnosis of cancer?

-Anemia-Mass on child's neck

When preparing a child to receive chemotherapy, the nurse can expect to see which values in the patient's electronic health record?

WBC Levels

The nurse is caring for a child receiving chemotherapy and notes bruising on the arms and legs. Which test will help identify the cause for bruising?

Platelet levels

The mother of a 10-year-old questions the nurse regarding the method of chemotherapy administration and is concerned the child will require frequent IV insertions. With which statement should the nurse respond?

A central venous catheter (CVC) may be implanted for long-term chemotherapy administration.