CPHON Symptom Management and Supportive Care 3

Question 1

Which antiemetic class works by blocking serotonin (5-HT3) receptors and is first-line for chemotherapy-induced nausea?

Accepted Answer

Serotonin (5-HT3) antagonists (ondansetron)

Answer

Phenothiazines

Answer

Antihistamines

Answer

Benzodiazepines

Question 2

A child undergoing stem cell transplant is on neutropenic precautions. Which food should the nurse instruct the family to AVOID?

Accepted Answer

Fresh salads and raw fruits

Answer

Cooked vegetables

Answer

Well-done meats

Answer

Pasteurized dairy products

Question 3

A child with cancer has not urinated in 8 hours and is receiving IV hydration. The nurse should:

Accepted Answer

Notify the provider and assess for bladder distension or obstruction

Answer

Document and continue monitoring

Answer

Restrict IV fluids further

Answer

Administer furosemide without an order

Question 4

To prevent oral candidiasis during immunosuppression, children are commonly prescribed:

Accepted Answer

Oral nystatin suspension or fluconazole

Answer

Oral acyclovir

Answer

Oral metronidazole

Answer

Topical hydrocortisone

Question 5

A child with cancer develops delirium on the oncology unit. The nurse's FIRST action is:

Accepted Answer

Assess for and correct reversible causes (infection, medications, hypoxia)

Answer

Administer lorazepam immediately

Answer

Apply physical restraints

Answer

Dim lights and leave the child alone

Question 6

A child receiving radiation to the abdomen develops diarrhea and cramping. The nurse should recommend:

Accepted Answer

Low-residue diet, adequate hydration, and antidiarrheal agents as ordered

Answer

High-fiber diet and increased raw vegetables

Answer

Increased dairy intake

Answer

Stopping all oral intake permanently