Following diagnosis of Ewing's sarcoma, the physician orders ...

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Following diagnosis of Ewing's sarcoma, the physician orders chemotherapy for the 12-year-old child. After discussion with the physician, the parents refuse a central line so the chemotherapy will be administered by peripheral line.
 
  The nurse will prevent extravasation by: Standard Text: Select all that apply. 1. Ensuring that the intravenous line is a free flowing line.
  2. Administering the medication by infusion pump.
  3. Checking for blood return before and during chemotherapy administration.
  4. Diluting the medication with normal saline.
  5. Administering the vesicant drug last.

Question 2

A six-year-old recently diagnosed with asthma also has a peanut allergy.
 
  The nurse instructs the family not only to avoid peanuts, but also to check food label ingredients carefully for peanut products and to make sure dishes and utensils are adequately washed prior to food preparation. The mother asks why this is specific for her child. The nurse should reply that in comparison with other children, this child has a higher risk for: 1. Urticaria.
  2. Anaphylaxis.
  3. Diarrhea.
  4. Headache.

[diesoon]

Answer to Question 1

1,3
Rationale 1: This is critical as extravasation is leaking into the tissues.
Rationale 2: An infusion pump does not ensure that the line is free flowing; this is inappropriate.
Rationale 3: This checks for intravenous administration and is appropriate.
Rationale 4: Not all medications can be mixed with normal saline, and this does not protect against extravasation.
Rationale 5: The vesicant drug should be administered first.
Global

Answer to Question 2

2
Rationale 1: Children with food allergies can experience urticaria, diarrhea, and headaches when exposed to a particular food.
Rationale 2: The child who also has asthma is at greatest risk for death secondary to anaphylaxis caused by a food allergy.
Rationale 3: Children with food allergies can experience urticaria, diarrhea, and headaches when exposed to a particular food.
Rationale 4: Children with food allergies can experience urticaria, diarrhea, and headaches when exposed to a particular food.
Global Rationale: