An adolescent is scheduled for a leg amputation in 2 days for ...

[tingc95]

An adolescent is scheduled for a leg amputation in 2 days for treatment of osteosarcoma. The nurse's approach should include:
 
  a. Answering questions with straightforward honesty.
  b. Avoiding discussing the seriousness of the condition.
  c. Explaining that, although the amputation is difficult, it will cure the cancer.
  d. Assisting the adolescent in accepting the amputation as better than a long course of chemotherapy.

Question 2

What is most descriptive of the therapeutic management of osteosarcoma?
 
  a. Treatment usually consists of surgery and chemotherapy.
  b. Amputation of the affected extremity is rarely necessary.
  c. Intensive irradiation is the primary treatment.
  d. Bone marrow transplantation offers the best chance of long-term survival.

[kaykay69]

Answer to Question 1

ANS: A
Honesty is essential to gain the cooperation and trust of the child. The diagnosis of cancer should not be disguised with falsehoods. The adolescent should be prepared in advance for the surgery so that there is time for reflection about the diagnosis and subsequent treatment. This allows questions to be answered. To accept the need for radical surgery, the child must be aware of the lack of alternatives for treatment. Amputation is necessary, but it will not guarantee a cure. Chemotherapy is an integral part of the therapy with surgery. The child should be informed of the need for chemotherapy and its side effects before surgery.

Answer to Question 2

ANS: A
The optimal therapy for osteosarcoma is a combination of surgery and chemotherapy. Amputation is frequently required. Intensive irradiation and bone marrow transplantation are usually not part of the therapeutic management.

[tingc95]

Excellent

[recede]

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