NR328 NR-328 Exam 2 Latest

NR328 / NR-328 Exam 2 (Latest

Update 2024 / 2025): Pediatric

Nursing | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain

Question:

How long can tordal be given to pediatric patients?

Answer:

• days.. it is used for musculoskeletal issues in palliative care for children who

have cancer

** in palliative care, make sure to utilize nonpharmacological methods like toys, playing, oral sucralose, and swaddling

Question:

What kind of pain medication is used for patients who have moderate to severe pain with cancer?

• morphine is the drug of choice
• oxycodone (oxycontin) and fentanyl (duragesic) may also be used 1 / 4

• the goal is to give optimal dosage to control pain without causing severe

adverse effects

• side effects may include respiratory depression, constipation, and nausea

Answer:

opioids

** a combination of non opioid and opioid drugs offers greater analgesic with fever adverse effects (treats pain peripherally and centrally)

Question:

• most diagnosed pediatric malignancy in children under 14 years of age
• proliferation of abnormal WBCs (immature WBCs cause no room for RBCs,

WBCs, and platelets in the bone marrow)

• before diagnose, they will present with signs of anemia and infection due to

low RBCs and WBCs

Manifestations:

• pallor
• bruising
• abdominal pain from spleen enlargement
• headache
• swollen lymph nodes

Treatment for the course of several months:

• induction/remission --> <5% of leukemic cells in the bone marrow 2 / 4

• intensification (consolidation) --> destroy any remaining leukemic cells

followed by a delayed intensification to prevent any resistant leukemic cells from emerging

• maintenance --> sustain remission phase
• if ANC gets too low, we may need to stop chemo and continue again when

they increase

• GOAL = less than 5% of blast cells
• chemotherapy is given via central line or port
• corticosteroids to minimize adve

Answer:

leukemia (acute lymphoblastic leukemia)

Question:

cancer of the lymph nodes

Manifestations:

• enlarged, non tender, firm, movable lymph nodes on the neck, under arms,

or groin

• anorexia
• fever
• night sweats
• fatigue
• pruritus
• weight loss
• / 4

Nursing considerations:

• not found until later stages after it metastasis

Treatment:

• chemo
• radiation

Answer:

hodgkins lymphoma

Question:

most commonly occurring solid tumors in children

Manifestations:

• headache
• seizure
• behavior changes
• bulging fontanel
• increased ICP
• irritability
• high pitched cry

Treatment:

• debulk surgery
• / 4