A preschool-age child is seen in a pediatric oncology clinic. The ...

[NClaborn]

A preschool-age child is seen in a pediatric oncology clinic. The nurse assigned to care for the client anticipates a diagnosis of cancer. Which reactions are considered common for the preschool-age child to experience with illnesses and hospitalizations?
 
  Select all that apply.
 
  A) Unawareness of the illness and its severity
  B) Understanding of what cancer is and how it is treated
  C) Thoughts that they caused their illness and are being punished
  D) Confusion as to why a parent is unable to make the illness go away
  E) Acceptance, especially if able to discuss the disease with children their own age

Question 2

The nurse is caring for the client experiencing hypovolemic shock and metabolic acidosis. Which therapies would the nurse question if planned for this client?
 
  Select all that apply.
  A) Monitor weight on admission and discharge.
  B) Monitor ECG for conduction problems.
  C) Limit the intake of fluids.
  D) Administer sodium bicarbonate.
  E) Keep the bed in the locked and low position.

[kjo;oj]

Answer to Question 1

Answer: C, D

Preschool-age children are egocentric and have magical thinking, and thus might believe they caused their own illness. This age group may also be confused as to why their parents cannot make the illness go away. Immediate acceptance will not occur with children of any age. Adolescents find contact with others who have gone through their experience helpful. School-age children can understand a diagnosis of cancer. Infants and toddlers are unaware of the severity of the disease.

Answer to Question 2

Answer: A, C

The treatment for hypovolemic shock would include the administration of fluids, not limiting fluids. Patients being treated for hypovolemia will require daily weights, not a weight on admission and then discharge. Administering sodium bicarbonate and monitoring ECGs are appropriate for the client with shock. The client recovering from hypovolemic shock is at risk for injury, so the bed should be kept in the locked and low position.

[NClaborn]

Excellent

[marict]

Gracias!