The nurse assessing a child who is undergoing chemotherapy finds ...

[abarnes]

The nurse assessing a child who is undergoing chemotherapy finds the child to be suffering from mucositis. Which of the following interventions would be most helpful?
 
  a. good oral care to clean the oral cavity of food particles and debris
  b. sips of ice and lubricating oil to the lips
  c. a room humidifier with a eucalyptus oil added to the water
  d. six to eight glasses of water every day

Question 2

The nurse is assessing a school-aged child and finds that this child is involved in working on a school project with peers, is on a swimming team, and collects dolls from around the world. The child mentions an interest in learning karate.
 
  The nurse's initial impression is that this child: a. is over-scheduled, as children this age need more rest and sleep
  b. is an extreme extrovert engaging in extrovert behaviors
  c. may be hypomanic and the family psychiatric history should be explored
  d. is meeting Erikson's major developmental task of this age period

[soda0602]

Answer to Question 1

A

Feedback
A Correct. Good oral care including use of a cleansing solution such as warm water or chlorhexidine to clean the oral cavity of food particles and debris would be most helpful for treating mucositis. Mucositis (stomatitis) is a common gastrointestinal side effect of chemotherapy. It is an inflammation of the oral mucosa that ranges from mild redness to severe, painful ulceration which may cause a decrease in oral intake and lead to dehydration, poor nutrition, and weight loss.
B Incorrect. Sips of ice and lubricating oil to the lips would not be most helpful since the oral ulcers occur in the mouth and pharynx. Similar lesions can extend along the esophagus and in the rectal area.
C Incorrect. A room humidifier with eucalyptus oil added to the water would not help in treating mucositis.
D Incorrect. Six to eight glasses of water every day would not help because the mouth ulcers may be too painful for the child to want to drink this amount of fluids.

Answer to Question 2

D

Feedback
A Incorrect: This child is meeting Erikson's major developmental task, and these activities bring a sense of accomplishment and forth.
B Incorrect: This child is meeting Erikson's major developmental task. These activities are not related to extroversion or extrovert behaviors.
C Incorrect: This child is meeting Erikson's major developmental task. These activities are not related to hypomania, and it would be inappropriate to explore the family psychiatric history.
D Correct: The major developmental task of this age period is industry versus inferiority. Energy is channeled into activities such as school projects, sports, and hobbies. Therefore, this child is meeting Erikson's major developmental task.

[abarnes]

TYSM

[Sarahjh]

Excellent