Answer to Question 1
B
Response:
An explanation about the goal is necessary and appropriate for a 7-year-old child so he can understand what is required. In many cases, this will be all that is needed. Explaining that a restraint will be applied if the boy cannot hold still will likely be perceived as a threat or punishment. All alternative measures need to be tried before restraints are used. Enlisting the assistance of the child life specialist is not a priority.
Answer to Question 2
B
Response:
A nursing diagnosis of impaired skin integrity evidenced by desquamation of the radiation site would be made only for a child undergoing radiation therapy. Activity intolerance due to anemia and weakness, impaired oral mucosa evidenced by oral lesions, and malnutrition and anorexia due to nausea and vomiting are diagnoses common to both radiation and chemotherapy.