A child has recently been diagnosed with leukemia. The child's ...

[Jramos095]

A child has recently been diagnosed with leukemia. The child's sibling is expressing feelings of anger and guilt. This reaction by the sibling is
 
  1. abnormal; the sibling should be
  referred to a psychologist.
  2. normal; the illness doesn't affect the
  sibling.
  3. unexpected; the cancer is easily
  treated.
  4. normal; the sibling is affected, too,and
  anger and guilt are expected feelings.

Question 2

An adolescent is receiving methotrexate chemotherapy after undergoing limb-salvage surgery for osteogenic sarcoma. The nurse knows the teen understands the purpose of leucovorin therapy after the methotrexate if the teen says
 
  I'm glad I only need one dose of the
  leucovorin.
  2. I don't have any pain so I won't need
  to take the leucovorin this time.
  3. I know I will be taking the
  leucovorin every six hours for about
  the next three days.
  4. I don't have any nausea so I won't
  need the leucovorin.

[SeanoH09]

Answer to Question 1

Answer: 4
Rationale: A diagnosis of cancer affects the whole family, and initial feelings
experienced by the sibling may be anger and guilt. Seldom will the sibling be
unaffected; however, the response is not abnormal.

Answer to Question 2

Answer: 3
Rationale: Leucovorin (citrovorum factor) is a form of folic acid that helps to
protect normal cells from the destructive action of methotrexate. It is started
within 24 hours of methotrexate administration and is given along with
hydration therapy. Usual administration is every six hours times 72 hours or until
serum methotrexate is at the desired level.

[Jramos095]

Correct answers!

[SeanoH09]

Great! Please up vote