A child with acute leukemia is started on chemo., including PREDNISONE. A side effect that may be exhibited is??

Mood Changes. Euphoria and mood swings may result from steroid therapy.

The nurse is aware that METHOTREXATE accomplishes it action by:

Intervening in Mitosis, inhibiting growth of malignant cells. Generally antineoplastic drugs interfere or inhibit the synthesis of DNA in malignant cells.

Because of the toxicity of VINCRISTINE the nurse should expect:

Neurological symptoms. It is highly neurotoxic causing parasthesias, muscle weakness, ptosis, diplopia, paralytic ileus, vocal cord paralysis and loss of deep tendon reflexes.

Nursing interventions that would be appropriate to avoid the complications of neutropenia are:

Placing client in a private room, restricting all visitors and using strict handwashing techniques. Most clients die from infection, a low neutrophil count results after induction with myelosuppressant therapy.

A common finding in most children with cardiac anomalies is:

Delayed Physical Growth - Often use increased energy in ADL's, Dec. O2 and Inc. eenergy output in the developing child causes slow growth rate.

Coarctation of the aorta - nurse expects to find:

Higher BP in the upper extremeties. There is decreased blood below the constriction but increased above it.

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Question Review

EXAM III

Question	Answer
In the clotting cascade this pathway requires factors VIII, IX, XII and is released from plasma.	Intrinsic pathway
This pathway is initiated in response to tissue injury it requires the release of Factor III, VII and X.	Extrinsic Pathway
Both Pathways intrinsic and extrinsic combine to for what Factor?	FACTOR V
This test measures B 12 absorption before and after intrinsic factor administered to differentiate between pernicious anemia and intestinal malabsorption. A 24 hour urine is collected following radioactive vitamin B12.	Schilling's Test
A child with acute leukemia is started on chemo., including PREDNISONE. A side effect that may be exhibited is??	Mood Changes. Euphoria and mood swings may result from steroid therapy.
The nurse is aware that METHOTREXATE accomplishes it action by:	Intervening in Mitosis, inhibiting growth of malignant cells. Generally antineoplastic drugs interfere or inhibit the synthesis of DNA in malignant cells.
Because of the toxicity of VINCRISTINE the nurse should expect:	Neurological symptoms. It is highly neurotoxic causing parasthesias, muscle weakness, ptosis, diplopia, paralytic ileus, vocal cord paralysis and loss of deep tendon reflexes.
Nursing interventions that would be appropriate to avoid the complications of neutropenia are:	Placing client in a private room, restricting all visitors and using strict handwashing techniques. Most clients die from infection, a low neutrophil count results after induction with myelosuppressant therapy.
A common finding in most children with cardiac anomalies is:	Delayed Physical Growth - Often use increased energy in ADL's, Dec. O2 and Inc. eenergy output in the developing child causes slow growth rate.
Coarctation of the aorta - nurse expects to find:	Higher BP in the upper extremeties. There is decreased blood below the constriction but increased above it.

Created by: k2snots

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