Pediatric Oncology Nursing Assessment and Care Planning Flashcards
6 cards from real CPHON practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Pediatric Oncology Nursing Assessment and Care Planning flashcards as text
A child with Wilms' tumor is post-operative day 2. Which assessment finding is MOST concerning?
Answer: Abdomen firm and distended with absent bowel sounds
A firm, distended abdomen with absent bowel sounds post-nephrectomy may indicate paralytic ileus, hemorrhage, or bowel obstruction requiring urgent evaluation.
The nurse is preparing a family for a bone marrow biopsy in their child. Which statement is accurate?
Answer: The posterior iliac crest is the most common site in children
The posterior iliac crest is the preferred bone marrow biopsy site in children because it provides good marrow access and avoids vital structures.
During a nursing handoff, the nurse learns a child with a brain tumor has new onset of unequal pupils. This finding suggests:
Answer: Increased intracranial pressure — notify provider immediately
Unequal pupils (anisocoria) in a patient with a brain tumor is a neurological emergency indicating possible herniation or increased ICP.
A child with osteosarcoma of the femur is preparing for limb-salvage surgery. Which nursing intervention is MOST important pre-operatively?
Answer: Teach the child about post-operative rehabilitation and expected functional outcomes
Pre-operative teaching about rehabilitation and realistic functional goals reduces anxiety and promotes engagement in post-operative recovery.
A toddler with neuroblastoma has periorbital ecchymosis (raccoon eyes). The nurse documents this as a sign of:
Answer: Orbital metastasis from neuroblastoma
Bilateral periorbital ecchymosis ('raccoon eyes') in children with neuroblastoma indicates orbital metastasis from tumor spread to the skull base.
When educating a family about a child's Hickman central venous catheter at home, the nurse should include instructions to:
Answer: Flush the catheter with heparin or saline per protocol and inspect the site daily
Routine flushing per protocol maintains catheter patency, and daily site inspection allows early identification of infection or displacement.