Neuroblastoma

1. The nurse is educating the parents of a child diagnosed with high-risk neuroblastoma. Which statement by the parents indicates a need for further teaching?

• "We understand that chemotherapy is a part of the treatment plan."

• "We know that stem cell transplantation may be needed."

• "We are prepared for the possibility of radiation therapy."

• "We expect the tumor to disappear with just one treatment."

1. Which of the following nursing interventions is MOST appropriate for a child receiving chemotherapy for neuroblastoma?

• Restrict fluids to prevent fluid overload.

• Monitor for signs of infection.

• Encourage a high-fat diet.

• Administer pain medication PRN for bone pain.

1. The nurse is reviewing the medical history of a child with neuroblastoma. Which of the following risk factors would be considered non-modifiable?

• Family history of neuroblastoma

• Exposure to pesticides

• Poor nutrition

• Poor nutrition

A clinic nurse notes that a child brought in for a physical has swelling and bruising around the eyes. The patient denies any trauma and the parent reports no environmental allergies. Which assessment is most important?

• Auscultate lungs bilaterally

• Inspect skin on the back

• Palpate abdomen and neck

• Percuss abdomen and flank

What staging system is being use for neuroblastoma

• TNM

• INSS

• BCLC

A child with neuroblastoma is scheduled for chemotherapy. Which of the following nursing interventions is MOST important to implement before administering the chemotherapy?

• Assess the child's neurological status.

• Obtain a complete blood count (CBC)

• Administer antiemetics

• Monitor the child's urine output

A child with neuroblastoma has undergone surgery to remove the tumor. The nurse anticipates which of the following postoperative findings?

• Increased appetite

• Weight gain

• Pain at the surgical site

• Constipation

What of the following are NOT a common sign and symptoms found in a child with neuroblastoma?

• A lump on the abdomen/ pelvic region

• dark circles around eyes

• growth at the lower back

• bone pain