The nurse is caring for a 9-year-old boy who is having ...

[Mr3Hunna]

The nurse is caring for a 9-year-old boy who is having chemotherapy. The nurse is developing a teaching plan for the child and family about nutrition. Which of the following would the nurse be least likely to include?
 
  A) Emphasizing the intake of grains, fruits, and vegetables
  B) Featuring high-fiber foods if opioid analgesics are being taken
  C) Concentrating on consuming primarily high-calorie shakes and puddings
  D) Avoiding milk products if diarrhea is a problem

Question 2

The nurse is assessing a 13-year-old girl with a family history of kidney cancer who has come to the clinic complaining of abdominal pain, nausea, and vomiting.
 
  Which of the following findings would the nurse identify as least likely indicative of cancer in a child? A) The child reports rectal bleeding and diarrhea.
  B) Observation reveals an asymmetric abdomen.
  C) The child experiences a broken bone without trauma.
  D) Palpation determines an abdominal mass.

[srodz]

Answer to Question 1

C
Feedback:
Providing high-calorie shakes and puddings with diet restrictions can help with weight gain, if that is a problem. However, concentrating on high-calorie shakes and puddings is not a good strategy. It is best to provide a balanced diet emphasizing grains, fruits, and vegetables. If pain is being treated with opioid analgesics, featuring high-fiber foods is important to help relieve constipation. Avoiding milk products is a good idea if diarrhea is a problem because lactose can make diarrhea worse.

Answer to Question 2

A
Feedback:
Rectal bleeding and diarrhea are symptoms of rectal cancer in adults and are not typical of children with cancer. The child reporting that a bone broke without any trauma, the nurse observing asymmetric swelling in the abdomen, or palpation revealing a mass in the abdomen are findings in children with cancer.

[Mr3Hunna]

Gracias!

[softEldritch]

TYSM