The nurse is leading a recovery group made up of parents who have ...

[altibaby]

The nurse is leading a recovery group made up of parents who have lost a child.
 
  As the opening topic for the night's discussion, the nurse has again reviewed information about the grief process to the parents and talked about how different people grieve. During the discussion phase, several fathers speak. The nurse recognizes that the father who needs more time to understand the grief process is the father who says: 1. I understand that everyone grieves differently.
  2. Looking back, I realize why I became so angry when the doctors didn't cure my daughter.
  3. It's been six months since my son died, so why isn't my wife ready to move on with our lives?
  4. I'm glad you described some common grief reactions. I thought I was going crazy for a while.

Question 2

A child is receiving chemotherapy induction for acute lymphocytic leukemia (ALL).
 
  Taking common side effects into consideration, which nursing diagnoses would be appropriate during the induction chemotherapy? Standard Text: Select all that apply. 1. Risk for injury: hemorrhagic cystitis
  2. Skin integrity: impaired mucous membrane
  3. Fluid and electrolyte impairment: nausea and vomiting
  4. Risk for infection
  5. Impaired sleep pattern
  6. Diarrhea

[Kimmy]

Answer to Question 1

3
Rationale 1: This statement is accurate. This father understands this concept correctly.
Rationale 2: Anger is a part of the grief process. This father has been able to look at his own behavior and recognize it as normal.
Rationale 3: There is no standard period of grief. It is individual. This father has not heard the nurse's discussion.
Rationale 4: This father has applied the knowledge of grief behaviors to his own behavior. He understands the discussion.
Global Rationale:

Answer to Question 2

1,2,3,6
Rationale 1: Hemorrhagic cystitis is a common early side effect of chemotherapy and is usually prevented with large amount of IV fluids to adequately protect the kidneys.
Rationale 2: Mouth sores are a common early side effect of chemotherapy and usually occur two to five days after the administration of chemotherapy.
Rationale 3: Nausea and vomiting are common early side effects of chemotherapy.
Rationale 4: Bone marrow suppression does not peak until 7 to 10 days post-induction. This nursing diagnosis would be appropriate at that time.
Rationale 5: Impaired sleep patterns are not directly related to chemotherapy.
Rationale 6: Diarrhea is a common early side effect of chemotherapy.
Global