Author Question: A two-month-old infant has been diagnosed with severe combined immunodeficiency disease (SCID). The ... (Read 50 times)

amal · **on:** Jun 28, 2018

A two-month-old infant has been diagnosed with severe combined immunodeficiency disease (SCID). The physician talked with the parents about the planned treatment and prognosis for the infant.

Which statement by the parents indicates the need for additional education? 1. My child will receive intravenous immune globulins as a way to help him fight infection.
2. Within days of receiving a stem cell transplant, my child will be cured.
3. If my child needs a blood transfusion, it should be with irradiated blood cells.
4. Antibiotics will be used as necessary to help my child fight infections.

Question 2

Following an automobile accident in which the child received a traumatic head injury, the child has been hospitalized for two weeks.

The parents have just been informed that their four-month-old child will have long-term consequences due to the injury, including intellectual disability and cerebral palsy. The parents express anger at the diagnosis and project that anger on the nursing staff. The response by the nursing staff should include: Standard Text: Select all that apply. 1. Referring the family to the hospital administrator.
2. Recognizing that the parents' anger is a normal response to the news.
3. Continuing to provide physical and emotional care to the child and family.
4. Offering hospital resources to the parents in addition to continued nursing support.
5. Explaining to the family that you are sorry about their child's injury but suggest they transfer the child to another hospital for their own comfort.

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

Answer to Question 1

2
Rationale 1: This statement is correct and needs no additional teaching.
Rationale 2: It takes three to four months for the transplant to begin to work. The nurse needs to clarify this information.
Rationale 3: This information is correct, as irradiated blood cells help prevent graft-versus-host disease in the event a transfusion is needed.
Rationale 4: This statement is correct and requires no additional teaching.
Global

Answer to Question 2

2,3,4
Rationale 1: The hospital administrator will be unable to meet their needs or to calm their anger.
Rationale 2: Parents grieve for the loss of the perfect child. This is a normal reaction.
Rationale 3: The nursing staff will continue to provide physical and emotional care to the child and family.
Rationale 4: It is appropriate to offer the hospital chaplain and other mental health workers in addition to continued support from the nursing staff.
Rationale 5: This option is a resolution for the nursing staff but not for the parents.
Global Rationale: