Pediatric Hematology Oncology Nurse Flashcards
7 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 7 Pediatric Hematology Oncology Nurse flashcards as text
A child with newly diagnosed AML is found to have a WBC of 120,000/mm³. The nurse anticipates which emergent complication?
Answer: Leukostasis causing pulmonary and CNS symptoms
Extreme leukocytosis (hyperleukocytosis) in AML causes leukostasis, where blast cells obstruct microvasculature in the lungs and brain.
Which late effect is most commonly associated with anthracycline chemotherapy in pediatric cancer survivors?
Answer: Cardiomyopathy and congestive heart failure
Anthracyclines (doxorubicin, daunorubicin) cause cumulative cardiotoxicity leading to cardiomyopathy, which may appear years after treatment.
A nurse is educating the family of a child with febrile neutropenia. Which statement by the parent indicates a need for further teaching?
Answer: 'I will give acetaminophen to mask the fever and monitor at home for 24 hours before calling.'
Parents must not delay seeking care for fever during neutropenia; delaying evaluation can allow a bacterial infection to progress to sepsis rapidly.
A pediatric patient is receiving radiation to the spine for medulloblastoma. Which side effect should the nurse anticipate months after therapy?
Answer: Growth retardation due to vertebral growth plate damage
Spinal radiation in children damages vertebral growth plates, leading to impaired spinal growth and short stature as a late effect.
Which assessment finding is an early sign of superior vena cava (SVC) syndrome in a child with a mediastinal tumor?
Answer: Facial edema and plethora that worsens when leaning forward
SVC syndrome causes venous congestion above the obstruction, presenting with facial and upper extremity swelling and plethora, worsened by gravity.
A child with sickle cell disease is being considered for hematopoietic stem cell transplant (HSCT). Which family member is the preferred donor?
Answer: HLA-matched sibling without sickle cell disease
An HLA-matched sibling who does not have sickle cell disease provides the best outcomes for HSCT in pediatric sickle cell patients.
The nurse is caring for a child who received a bone marrow transplant 3 weeks ago and now develops a skin rash, diarrhea, and elevated bilirubin. These findings are most consistent with:
Answer: Acute graft-versus-host disease (aGVHD)
Acute GVHD classically presents with a triad of skin rash, profuse diarrhea, and liver dysfunction (elevated bilirubin) within 100 days of transplant.