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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
  1. A child with cancer has a broviac catheter. The nurse notes the external portion of the catheter has been cut. The IMMEDIATE action is:

    Answer: Clamp the catheter proximal to the cut and notify the provider

    Clamping the catheter proximal to the cut prevents air embolism and hemorrhage while the provider is notified for catheter repair.

  2. Which nutritional parameter BEST indicates malnutrition risk in a pediatric oncology patient?

    Answer: Weight loss >5% in one month or weight-for-height below 5th percentile

    Significant weight loss (>5% in one month) or weight-for-height below the 5th percentile are the most clinically relevant indicators of malnutrition risk in children.

  3. A child with cancer has a do-not-resuscitate (DNR) order in place. During a cardiac arrest, the nurse should:

    Answer: Honor the DNR order and provide comfort measures

    A valid DNR order reflects the patient's and family's wishes; the nurse must honor it and shift to comfort-focused care.

  4. A teenager newly diagnosed with lymphoma is withdrawn and refuses to speak to the care team. The nurse's BEST approach is:

    Answer: Use therapeutic presence and open-ended questions to encourage expression

    Therapeutic presence and open-ended questions respect the teenager's autonomy while creating a safe space for emotional expression.

  5. A child with cancer is being transitioned to home hospice care. Which statement by the nurse BEST reflects understanding of hospice goals?

    Answer: Hospice focuses on comfort, dignity, and supporting the whole family

    Hospice care is a specialized form of palliative care focused on comfort, quality of life, and holistic family support — not abandonment.

  6. When documenting care for a pediatric oncology patient, the nurse should ensure that which element is always included?

    Answer: Objective assessments, interventions, patient responses, and time of actions

    Accurate nursing documentation must include objective findings, interventions performed, patient responses, and precise timestamps for legal and clinical continuity.