The nurse working with pediatric oncology patients educates the ...

[jc611]

The nurse working with pediatric oncology patients educates the patients and families regarding best long-term follow-up practices. Which recommendations does this include? (Select all that apply.)
 
  A.
  Continued care by an interdisciplinary team
  B.
  Height measurements until puberty is reached
  C.
  Genetic testing prior to having children
  D.
  Risk-based follow-up appointments
  E.
  Thyroid screening for 5 years after remission

Question 2

A child has nausea after chemotherapy despite anti-emetics. However, the child complains that my tummy is growling. Which other action should the nurse take to promote comfort for this child?
 
  A.
  Avoid hard, difficult-to-chew foods.
  B.
  Encourage a high fluid intake with meals.
  C.
  Offer the child hard candy to suck on.
  D.
  Provide bland items, such as plain mashed potatoes.

[billybob123]

Answer to Question 1

ANS: A, D
Best-practice recommendations for follow-up include risk-based referrals and continued involvement of an interdisciplinary team of specialists. Height measurements are important for children until their adult height is achieved. Genetic testing is only recommended for certain types of cancer. Thyroid screening is important throughout the lifetime of survivors who were treated with radiotherapy to the neck, spine, or brain.

Answer to Question 2

ANS: D
Several actions can help the child with nausea: offering plain, bland foods; avoiding spicy, heavy, or fatty foods; decreasing the odor associated with foods if that bothers the child; and having the child take food separately from liquids. Liquid together with food can make the child feel full, inducing nausea. The other options are good choices for other nutritional problems.