The parent of a child newly diagnosed with cancer verbalizes ...

[LaDunn]

The parent of a child newly diagnosed with cancer verbalizes regret to the nurse for not seeking earlier medical attention for the child's symptoms. Which response would be most therapeutic?
 
  1. You may feel guilty, but you should not blame yourself.
  2. Most cancers can be treated easily.
  3. Many types of cancer are difficult to diagnose and might not show early symptoms.
  4. Early diagnosis is not significant in the diagnosis and management of cancer.

Question 2

Manifestations of cancer in the pediatric patient vary by type and location but typically include which of the following general manifestations? Standard Text: Select all that apply.
 
  1. Infection
  2. Weight gain
  3. Polycythemia
  4. Neurologic symptoms
  5. Pain
  6. Cachexia

[ankilker]

Answer to Question 1

3
Rationale 1: This is not a therapeutic response. It is not appropriate for the nurse to tell the family how they should feel.
Rationale 2: This answer is not accurate, as cancer is generally prolonged and difficult for both the child and family.
Rationale 3: Many cancers do not present significant findings until late and can progress rapidly. Giving such information is a communication tool.
Rationale 4: Outcomes for many cancers are improved with early diagnosis.
Global

Answer to Question 2

1,4,5,6
Rationale 1: Infection related to decreased immune function is common.
Rationale 2: Weight gain is incorrect; children with cancer are generally anorexic, have nausea and vomiting, and have early satiety.
Rationale 3: Anemia occurs rather than polycythemia.
Rationale 4: Neurologic symptoms can occur from impingement on the brain or nervous system.
Rationale 5: Pain results from neoplasms directly or indirectly affecting nerve receptors.
Rationale 6: Cachexia occurs secondarily to anorexia and nausea and vomiting.
Global

[LaDunn]

Gracias!

[kthug]

Excellent