8.) Oncology II (part 2)

Question 1

Once an RBC has become sickled, it can’t reverse the process.

a. ) True
b. ) False

Answer 1

b.) False

Question 2

Which of the following is NOT a factor leading to pain crisis in children with Sickle Cell Disease?

a. ) A day trip to the mountains
b. ) Excessive temperature changes
c. ) Coming down with a cold
d. ) Vigorous physical exertion

Answer 2

a.) A day trip to the mountains

Factors leading to pain crisis in kids w/ Sickle Cell Disease:

1. Excessive temperature changes
2. Coming down with a cold
3. Vigorous physical exertion

Question 3

Which of the following is NOT an appropriate nursing intervention for a 2-year old child with hemophilia who has been hospitalized for a joint bleed?

a. ) Aggressive factor replacement through the IV.
b. ) Passive range-of-motion activities so that the child will not lose any function.
c. ) Call physical therapy and have them fit the child for a protective helmet to wear when active.
d. ) Complete bedrest with bedside activities.

Answer 3

b.) Passive range-of-motion activities so that the child will not lose any function.

Appropriate nursing interventions for a 2-year old child with hemophilia who has been hospitalized for a joint bleed:

1. Aggressive factor replacement through the IV.
2. Call physical therapy and have them fit the child for a protective helmet to wear when active.
3. Complete bedrest with bedside activities.

Question 4

Only one parent must carry the SCD gene for a child to have SC disease.

a. ) True
b. ) False

Answer 4

b.) False

Question 5

It is possible for infants to have SCD and not show signs of it until they reach age one.

a. ) True
b. ) False

Answer 5

a.) True

Question 6

Why is the reticulocyte count so important in a child with SCD?

a. ) It tell us how many RBCs have been destroyed by the sickling process.
b. ) It provides a measurement of amount of oxygen available to the capillaries and tissues.
c. ) It tells that the child is in crisis and that the bone marrow is working hard to produce more RBCs.
d. ) It tell us how many RBCs are actually sickled.

Answer 6

c.) It tells that the child is in crisis and that the bone marrow is working hard to produce more RBCs.

Question 7

Which of the following is a critical factor in managing a child who is in crisis (hint…we are prioritizing…)?

a. ) Pulse oximetry will monitor the ogygenation capability of the blood.
b. ) Antibiotics will help eliminate any viral/bacterial cause of the crisis.
c. ) Fluids up to 2-times maintenance will be administered to help reverse the sickling process.
d. ) Frequent monitoring of the reticulocyte count will offer information about when the crisis is over.

Answer 7

c.) Fluids up to 2-times maintenance will be administered to help reverse the sickling process.

Question 8

Is hemophilia specifically a male disease?

a. ) Yes, but the gene for hemophilia actually comes from the father.
b. ) No, but both parents have to be carriers for it to be present.
c. ) Yes, it is passed from a mother carrying the trait to the male child.
d. ) No, it is possible for a female to have the disease if the father is disease positive and the mother is a carrier.

Answer 8

d.) No, it is possible for a female to have the disease if the father is disease positive and the mother is a carrier.

Question 9

Hemophilia is a bleeding disorder that results from which of the following?

a. ) The deficiency of clotting factors within the blood
b. ) The deficiency of the platelets
c. ) The malfunction of the platelets
d. ) The malfunction of clotting factors within the blood

Answer 9

a.) The deficiency of clotting factors within the blood

Question 10

Permanent damage in the joints of patients with hemophilia is a result of which of the following?

a. ) It hurts to move the joints so patients typically are inactive, leading to joint breakdown.
b. ) Severe contractures related to stiffness and inactivity.
c. ) There are no bony changes in patients with hemophilia.
d. ) Continued bleeding into the joints coupled with incomplete absorption of the blood in joint spaces leads to breakdown.

Answer 10

d.) Continued bleeding into the joints coupled with incomplete absorption of the blood in joint spaces leads to breakdown.

Question 11

X ray shows you the neighborhood

CT shows you the street

MRI shows you not only the house, but inside the house