The nurse is caring for a 5-year-old boy undergoing radiation ...

[iveyjurea]

The nurse is caring for a 5-year-old boy undergoing radiation treatment for a neuroblastoma. Which nursing diagnosis would be most applicable for this child?
 
  A) Activity intolerance related to anemia and weakness from medications
  B) Impaired skin integrity related to desquamation from cellular destruction
  C) Impaired oral mucosa related to the presence of oral lesions from malnutrition
  D) Imbalanced nutrition, less than body requirements related to nausea and vomiting

Question 2

The nurse is caring for a 7-year-old girl who is undergoing a stem cell transplant. Which of the following would the nurse include in the child's postoperative plan of care?
 
  A) Assessing for petechiae, purpura, bruising, or bleeding
  B) Limiting blood draws to the minimum volume required
  C) Administering antiemetics around the clock as ordered
  D) Monitoring for severe diarrhea and maculopapular rash

[izzat]

Answer to Question 1

B
Feedback:
A nursing diagnosis for impaired skin integrity evidenced by desquamation of the radiation site would only be made for a child undergoing radiation therapy. Activity intolerance due to anemia and weakness, impaired oral mucosa evidenced by oral lesions, and malnutrition and anorexia due to nausea and vomiting are diagnoses that are common to both radiation and chemotherapy.

Answer to Question 2

D
Feedback:
In the posttransplant phase, monitor closely for symptoms of graft-versus-host disease (GVHD) such as severe diarrhea and maculopapular rash progressing to redness or desquamation of the skin (especially on the palms of the hands or soles of the feet). During chemotherapy in the pretransplant phase, assess for petechiae, purpura, bruising, or bleeding to prevent hemorrhage; administer antiemetics around the clock as ordered to prevent the cycle of nausea, vomiting, and anorexia; and limit blood draws to the minimum volume required to prevent anemia.