A young school-age male child is admitted with newly diagnosed ...

[joesmith1212]

A young school-age male child is admitted with newly diagnosed acute lymphocytic leukemia. The multidisciplinary team is meeting to plan care for this child and family. Which statement by the parents should receive priority in the nursing planning process
 
  A) His brother is upset about the amount of time we are away from home.
  B) Can we plan a trip out of town sometime this summer?
  C) We are afraid that he will dislodge his central line at school.
  D) How do we get our parking validated?

Question 2

A child has recently been diagnosed with leukemia. The client's sibling is 6 years old and expressing feelings of anger and guilt. This reaction by the sibling is very upsetting to the parents. How should the nurse explain the sibling's behavior?
 
  A) This behavior is abnormal. I will have the physician refer you to a psychologist.
  B) This behavior is just the sibling's way to get attention.
  C) This is a normal response. Your other child is also affected by the diagnosis and anger and guilt are expected feelings for a 6-year-old.
  D) Your other child should not be so upset. The cancer is easily treated.

[connor417]

Answer to Question 1

Answer: C

This is an imminent, potentially life-threatening concern. Financial worries, although a significant concern, would not take precedence over a potentially life-threatening concern. Questions about travel and other family matters should be addressed, but they are not acute issues. The impact of the illness on the client's brother is a realistic concern, but not acute or life-threatening.

Answer to Question 2

Answer: C

A diagnosis of cancer affects the whole family, and initial feelings experienced by the sibling may be anger and guilt. Seldom will the sibling be unaffected; however, the response is not abnormal. Although the sibling may want attention, this is not the best response by the nurse.

[joesmith1212]

TYSM

[peter]

Thanks for the timely response, appreciate it