A pediatric patient has been brought to the emergency room ...

[jeatrice]

A pediatric patient has been brought to the emergency room because of hip pain, erythema, and edema, with a high heart rate and low-grade fever. The child will not bear weight on his left side. The diagnosis is osteomyelitis of the hip.
 
  The parents ask the nurse how the medical team plans to keep an IV in their child for at least three weeks for antibiotics. The nurse knows that: 1. The best solution will be for a PICC line to be placed in the child so that he/she does not need as many IV starts.
   2. The IV sites will last up to 72 hours before needing changed, so this should not cause much pain for the child.
   3. The child's arm will be immobilized so that an IV stays in.
   4. The child will receive the antibiotics via injection if the IV site cannot be maintained.

Question 2

The nurse caring for a leukemic child receiving chemotherapy notes that the child's abdomen is firm and slightly distended. Also, there is no record of a bowel movement for the last 2 days. These assessment findings suggest the possibility of:
 
  a. Peripheral neuropathy
  b. Stomatitis
  c. Myelosuppression
  d. Hemorrhage

[heyhey123]

Answer to Question 1

1
Feedback
1. A PICC line will not require multiple IV starts, but will have to be maintained by the family and a professional.
2. Not all IV sites last 72 hours, and thus are not a good recommendation for long-term IV therapy.
3. Immobilization may cause loss of function in the extremity and should be avoided.
4. Multiple injections would be required for the medication, creating pain, fear, and non-compliance.

Answer to Question 2

A
Peripheral neuropathy may be signaled by severe constipation resulting from decreased nerve sensation in the bowel.

[jeatrice]

Thank you

[heyhey123]

Happy to help you