A child on chemotherapy has developed rectal ulcers. What ...

[jrubin]

A child on chemotherapy has developed rectal ulcers. What interventions should the nurse teach to the child and parents to relieve the discomfort of rectal ulcers? (Select all that apply.)
 
  a. Warm sitz baths
  b. Use of stool softeners
  c. Record bowel movements
  d. Use of an opioid for discomfort
  e. Occlusive ointment applied to the area

Question 2

The nurse is precepting a new graduate nurse at an ambulatory pediatric hematology and oncology clinic. What cardinal signs of cancer in children should the nurse make the new nurse aware of? (Select all that apply.)
 
  a. Sudden tendency to bruise easily
  b. Transitory, generalized pain
  c. Frequent headaches
  d. Excessive, rapid weight gain
  e. Gradual, steady fever
  f. Unexplained loss of energy

[Christopher]

Answer to Question 1

ANS: A, B, C, E
If rectal ulcers develop, meticulous toilet hygiene, warm sitz baths after each bowel movement, and an occlusive ointment applied to the ulcerated area promote healing; the use of stool softeners is necessary to prevent further discomfort. Parents should record bowel movements because the child may voluntarily avoid defecation to prevent discomfort. Opioids would cause increased constipation.

Answer to Question 2

ANS: A, C, F
The cardinal signs of cancer in children include a sudden tendency to bruise easily; frequent headaches, often with vomiting; and an unexplained loss of energy. Other cardinal signs include persistent, localized pain; excessive, rapid weight loss; and a prolonged, unexplained fever.

[jrubin]

Excellent

[rachel]

Thanks for the timely response, appreciate it