A school-age child, diagnosed with rhabdomyosarcoma, is ...

[joblessjake]

A school-age child, diagnosed with rhabdomyosarcoma, is experiencing nausea and vomiting related to the prescribed chemotherapy in spite of the use of antiemetics. The mother is pushing the child to eat the food. Which statement by the nurse is appropriate to address this situation?
 
  1. Since your child is receiving IV fluids, it is not important to push oral intake of food.
  2. A food aversion may occur if you continue to force your child to eat.
  3. Emesis that is caused by your child being force-fed can damage the stomach.
  4. A psychologic conflict could occur between you and your child if you continue to push eating.

Question 2

An adolescent female client, diagnosed with osteosarcoma, has a below-the-knee amputation as part of the treatment regimen. Which behavior, assessed by the nurse, indicates the client is beginning to accept the amputation?
 
  1. Complaints of pain in the missing leg
  2. Insists that a prosthetic be applied prior to participating in physical therapy.
  3. Insists on covering the lower portion of the body prior to peer visitation.
  4. Watches the dressing change

[jojobee318]

Answer to Question 1

2
Explanation:
1. Intravenous fluids do not replace normal food intake.
2. If the child is forced to eat and then vomits, the child can develop a food aversion in which the child associates that food with vomiting.
3. Vomiting is unpleasant but does not usually lead to stomach damage.
4. This is not a correct statement. Parents and children often disagree, but the child will still relate to the parent.

Answer to Question 2

4
Explanation:
1. Phantom pain is an expected finding after an amputation; however, this does not indicate acceptance.
2. This indicates she wants to return to mobility but has not yet accepted the stump.
3. Being in a wheelchair with a blanket cover indicates she doesn't want her friends to be aware of her amputation.
4. This indicates the girl is willing to look at the stump, which is a step toward acceptance.