A child with rhabdomyosarcoma is prescribed radiation therapy ...

[khang]

A child with rhabdomyosarcoma is prescribed radiation therapy after surgical removal of the tumor. Which intervention should the nurse include in the child's plan of care?
 
  1. Apply lotion to the area before radiation therapy.
  2. Apply sunscreen to the area when the child is exposed to sunlight.
  3. Remove any markings left after each radiation treatment.
  4. Vigorously scrub the area when bathing the child.

Question 2

Which is the priority nursing intervention for a pediatric client, diagnosed with leukemia, who has a granulocyte count of 250/mm3 and a platelet count of 150,000/mm3?
 
  1. Fluid restriction
  2. Mouth care
  3. Neutropenic precautions
  4. Hand hygiene

[ryrychapman11]

Answer to Question 1

2
Explanation:
1. Lotion can increase the chance of a radiation burn when applied before the treatment.
2. Radiation therapy causes the skin in that area to be sensitive. Sunscreen should be applied so that sunburns are avoided.
3. Radiation markings are to guide the radiologist and should not be removed.
4. Vigorous scrubbing is not recommended.

Answer to Question 2

4
Explanation:
1. A fluid restriction is not a priority nursing intervention based on the current data. Fluids should continue to be encouraged.
2. Platelet count is normal; mouth care should include brushing with a soft toothbrush and frequent rinsing.
3. The child should be isolated from anyone infectious, but neutropenic isolation is not necessary.
4. Hand hygiene is vital for preventing the spread of infection.