Author Question: The ten-year-old child was diagnosed with a medulloblastoma; following surgery the child is started ... (Read 31 times)

roselinechinyere27m · **on:** Jun 28, 2018

The ten-year-old child was diagnosed with a medulloblastoma; following surgery the child is started on chemotherapy by intrathecal injection.

While preparing the family for the start of chemotherapy, the nurse will explain that intrathecal administration was chosen because: 1. It reduces side effects.
2. It does not require the child being stuck.
3. Many chemotherapy drugs do not cross the blood-brain barrier.
4. Intrathecal administration is less expensive than intravenous administration.

Question 2

The nurse is presenting a program on healthy eating habits to the parents of children attending the clinic. In the discussion period of the program, parents make the following comments.

Which parent needs more information about safe food preparation? 1. We always wash our hands well before any food preparation.
2. We use separate utensils for preparing raw meat and for preparing fruits, vegetables, and other foods.
3. We take the meat out of the freezer and then allow it to thaw on the counter for two to three hours before cooking it thoroughly.
4. If our baby doesn't drink all the formula in his bottle, we throw the rest out.

jomama · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

3
Rationale 1: Intrathecal administration does not reduce side effects.
Rationale 2: Intrathecal administration is through a spinal tap, so the child will be stuck for administration.
Rationale 3: This is the correct rationale for the selection of intrathecal administration of chemotherapy.
Rationale 4: This is not accurate and would not be a reason to change administration modes.
Global

Answer to Question 2

3
Rationale 1: Washing hands removes pathogens from the hands and prevents food contamination.
Rationale 2: Raw meats are a good source of pathogens. Utensils used on raw meat can transfer the pathogens to other foods if they are not prepared in a manner to destroy these pathogens.
Rationale 3: Allowing meat to sit out on a counter can cause the bacteria counts to increase quickly, and cooking the meat might not effectively destroy all of the bacteria. Frozen meat should be thawed in the refrigerator prior to cooking.
Rationale 4: While drinking from a bottle, organisms can be transferred from the baby's mouth to the formula. If this formula is saved, the organisms can multiply in the formula.
Global Rationale: