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    ISPN综合测验 小儿肿瘤科疾病 Oncological Disorders
    日期:2015-11-26 10:42:07    来源:奥医教育
    Oncological Disorders
    肿瘤科疾病
     
    特别声明:
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    1. A nurse is monitoring a child for bleeding after surgery for removal of a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. Which of the following is the appropriate nursing intervention:
    1. Notify the physician.
    2. Reinforce the dressing.
    3. Document the findings and continue to monitor.
    4. Circle the area of drainage and continue to monitor.
    2. After surgical removal of a brain tumor, the physician writes a prescription to maintain the child in a flat position. During the postoperative period, a nurse is monitoring the child and notes that the child is restless, the pulse rate is elevated, and the blood pressure has decreased significantly from the baseline value. The nurse suspects that the child is in shock. Which of the following would be the appropriate nursing action?
    1. Notify the physician.
    2. Elevate the head of the bed.
    3. Increase intravenous fluids.
    4. Place the child in Trendelenburg's position.
    3. The mother of a 4-year-old child brings the child to a clinic and tells a pediatric nurse specialist that the child's abdomen seems to be swollen. During further assessment of subjective data, the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. The nurse, suspecting the possibility of Wilms' tumor, would avoid which of the following during the physical assessment?
    1. Palpating the abdomen for a mass
    2. Assessing the urine for the presence of hematuria
    3. Monitoring the temperature for the presence of fever
    4. Monitoring the blood pressure for the presence of hypertension
    4. A pediatric nurse specialist provides a teaching session to the nursing staff regarding osteogenic sarcoma. Which statement by a member of the nursing staff indicates a need for clarification of the information presented?
    1. "The femur is the most common site of this sarcoma. "
    2. "The child does not experience pain at the primary tumor site. "
    3. "Limping, if a weight-bearing limb is affected, is a clinical manifestation."
    4. "The symptoms of the disease in the early stage are almost always attributed to normal growing pains. "




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