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
When performing a nursing assessment on a newly diagnosed pediatric oncology patient, which finding requires IMMEDIATE intervention?
Answer: Respiratory distress with mediastinal mass on chest X-ray
A mediastinal mass can compress the trachea and superior vena cava, causing life-threatening airway obstruction or superior vena cava syndrome.
Which nursing diagnosis has HIGHEST priority for a child with febrile neutropenia?
Answer: Risk for infection related to immune suppression
Febrile neutropenia is a life-threatening emergency; preventing infection spread and initiating antibiotics are the primary nursing priorities.
The CPHON nurse is caring for a child with superior vena cava (SVC) syndrome. Which position is MOST appropriate?
Answer: High Fowler's (head of bed elevated 60–90°)
Elevating the head of bed reduces venous pressure in the SVC, decreasing facial/neck swelling and improving venous return.
A child with ALL is admitted with a fever and ANC of 200/mm³. Within how many minutes should empiric antibiotics be initiated?
Answer: Within 60 minutes
Febrile neutropenia guidelines recommend initiating empiric broad-spectrum antibiotics within 60 minutes of triage to prevent septic shock.
When developing a care plan for a child with terminal cancer, the nurse includes which priority goal?
Answer: Maintain comfort and quality of life
For terminal pediatric cancer, palliative and comfort-focused goals center on maximizing quality of life, not curative intervention.
A 10-year-old with leukemia refuses to take oral medication. The BEST nursing approach is to:
Answer: Collaborate with the child and family to problem-solve acceptability
A child-centered approach that involves the child and family in problem-solving increases adherence and respects developmental autonomy.