Childhood Cancer ppt

Question 1

Wilm’s tumor interventions

Answer 1

DO NOT palpate the abdomen

Question 2

Neuroblastoma locations

Answer 2

Adrenal gland
Abdomen
Thoracic cavity
Head and neck
along the CNS

Question 3

Neuroblastoma manifestations

Answer 3

Firm, non tender irregular mass that crosses the midline
Ill appearance
Periorbital ecchymoses (eye redness/bruising)
Bone pain
Weight loss

Question 4

Neuroblastoma nursing interventions

Answer 4

Use caution when bathing to prevent trauma to tumor site
Monitor for s/s of infections
Assess physical growth
Listen to child’s concerns

Question 5

What is Wilm’s tumor?

Answer 5

Nephroblastoma in the kidneys and abdomen
No known risk factors

Question 6

Wilm’s tumor findings

Answer 6

Painless, non tender, firm abdominal mass or swelling
Confined to one side
Hematuria
Fatigue, malaise, weight loss
Fever

Question 7

Cause of Leukemia

Answer 7

Increased production of immature WBCs with neuroplastic characteristics

Question 8

Deficiencies during Leukemia

Answer 8

Deficient RBCs causes anemia
Deficient WBCs causes neutropenia
Deficient platelets causes thrombocytopenia (increased risk for bleeding/bruising)

Question 9

Early Leukemia assessment findings

Answer 9

Low grade fever
Pallor
Vomiting, anorexia, headache
Abdominal, leg, joint pain

Question 10

Late leukemia assessment findings

Answer 10

Hematuria
Pain
Ulcerations in the mouth
Enlarged kidneys and testicles
Manifestations of ICP

Question 11

Lab test for leukemia

Answer 11

CBC
-Anemia (low blood count)
- neutropenia (low neutrophils)
-leukoblasts (immature WBCs)
-blood smear (immature WBCs)
Bone marrow aspiration or biopsy

Question 12

Post bone marrow biopsy considerations

Answer 12

Apply pressure to site for 5-10 minutes, then apply pressure dressing
Monitor for manifestations of bleeding and infection for 24 hours

Question 13

What to avoid with mucosal ulcerations

Answer 13

Viscous lidocaine due to risk of aspiration
Hydrogen peroxide delays healing
Milk of Magnesia dries mucous membranes
Lemon glycerin swabs cause tooth decay and erosion of tissue

Question 14

What to give for mucosal ulcerations

Answer 14

Mix 1/2tsp table salt with 1tsp baking soda and 1 quart of water
Hydrocortisone dental paste
Aluminum and magnesium hydroxide to minimize pain

Question 15

Retinoblastoma

Answer 15

Life-threatening cause of leukocoria or “cat’s eye reflex” (when the normal red pupil reflex is white or absent)