The nurse assigned to work with the child who has had whole brain ...

[saliriagwu]

The nurse assigned to work with the child who has had whole brain radiation assesses the child and finds that the child is sleeping up to 20 hours a day and is having some nausea and malaise, a fever, and dysphasia.
 
  Based on this assessment, the nurse will work with the parents in which of the following areas? a. caring for the dying child
  b. dealing with the side effects of radiation therapy
  c. accepting a reoccurrence of the tumor
  d. accepting the imminent death of their child

Question 2

The nurse is helping an obese child learn about healthy food choices.
 
  The child shares with the nurse that he usually drinks a half a gallon of whole milk a day and often has a toasted cheese sandwich or macaroni and cheese for lunch and sometimes has a bowl of ice cream or yogurt for dessert. Based on knowledge of the nutritional needs of the school-aged child, the nurse's response to the amount of milk this child drinks each day would be which of the following? a. You can drink all the milk and eat all the milk products you want, as they are very healthy.
  b. You need to reduce your milk intake to a glass at each meal and at bedtime.
  c. The recommended daily amount of milk and milk products such as cheese or ice cream is two to three servings a day.
  d. If you drink a half a gallon of milk a day, you need to omit cheese and other milk products.

[jasonq]

Answer to Question 1

B

Feedback
A Incorrect. These symptoms do not mean the child is dying.
B Correct. Whole brain radiation can cause acute, subacute, and delayed toxicity. Symptoms of subacute toxicity, called somnolence syndrome, are sleepiness, nausea, malaise, fever, and dysphagia. The nurse will work with the parents in dealing with the side effects of radiation therapy.
C Incorrect. These symptoms do not indicate reoccurrence of the tumor.
D Incorrect. These symptoms do not indicate the imminent death of their child.

Answer to Question 2

C

Feedback
A Incorrect: This is not the best response because it exceeds the recommended daily amount of milk.
B Incorrect: This is not the best response because it exceeds the recommended daily amount of milk.
C Correct: The recommended daily amount of milk and milk products is two to three servings a day, so this is the best response. One serving is equal to one cup of milk or yogurt or 1 1/2 ounces of cheese.
D Incorrect: This is not the best response because half a gallon of milk is about three times more than the recommended daily amount of milk