CPHON Symptom Management and Supportive Care 2

Question 1

A child with cancer develops cachexia. Which intervention should the nurse prioritize?

Accepted Answer

Consult a registered dietitian and consider enteral nutrition

Answer

Enforce strict calorie restriction

Answer

Encourage only high-sugar foods

Answer

Restrict all protein intake

Question 2

A child on high-dose corticosteroids for ALL treatment shows mood swings and increased appetite. The nurse explains these are:

Accepted Answer

Expected side effects of steroid therapy

Answer

Signs of disease progression

Answer

Symptoms of hypoglycemia

Answer

Indicators of opioid toxicity

Question 3

When caring for a child with severe mucositis, which oral care intervention is recommended?

Accepted Answer

Rinse with normal saline or sodium bicarbonate solution

Answer

Use alcohol-based mouthwash four times daily

Answer

Brush vigorously with a firm toothbrush

Answer

Avoid all oral care to prevent pain

Question 4

A pediatric oncology patient has fatigue rated as severe (7/10). Which intervention is MOST evidence-based for cancer-related fatigue?

Accepted Answer

Aerobic exercise tailored to the child's capacity

Answer

Complete bed rest throughout treatment

Answer

High-dose vitamin C supplementation

Answer

Caffeine supplementation

Question 5

A child with a central venous catheter develops a temperature of 38.5°C. The nurse should FIRST:

Accepted Answer

Draw blood cultures from the central line and a peripheral site

Answer

Administer acetaminophen and recheck in 2 hours

Answer

Remove the central catheter immediately

Answer

Increase IV fluid rate

Question 6

The nurse is assessing for peripheral neuropathy in a child receiving vincristine. Which assessment is MOST appropriate?

Accepted Answer

Test deep tendon reflexes and ask about tingling or weakness

Answer

Auscultate for abnormal breath sounds

Answer

Check serum electrolytes

Answer

Perform a fundoscopic examination