A school-age child is diagnosed with a life-threatening illness. ...

[Capo]

A school-age child is diagnosed with a life-threatening illness. The parents want to protect their child from knowing the seriousness of the illness. The nurse should explain that
 
  a. This will help the child cope effectively by denial.
  b. This attitude is helpful to give parents time to cope.
  c. Terminally ill children know when they are seriously ill.
  d. Terminally ill children usually choose not to discuss the seriousness of their
  illness.

Question 2

What are the nursing priorities for a child with sickle cell disease in vaso-occlusive crisis?
 
  a. Administration of antibiotics and nebulizer treatments
  b. Hydration and pain management
  c. Blood transfusions and an increased calorie diet
  d. School work and diversion

[Brummell1998]

Answer to Question 1

C
Feedback
A The child will know that something is wrong because of the increased attention
of health professionals. This interferes with denial as a form of coping.
B Parents may need professional support and guidance from a nurse or social
worker in this process.
C The child needs honest and accurate information about the illnesses, treatments,
and prognosis. Children, even at a young age, realize that something is seriously
wrong and that it involves them. The nurse should help understand the
importance of honesty.
D Children will usually tell others how much information they want about their
condition.

Answer to Question 2

B
Feedback
A Antibiotics may be given prophylactically. Oxygen therapy rather than nebulizer
treatments is used to prevent further sickling.
B Hydration and pain management decrease the cells' oxygen demands and prevent
sickling.
C Although blood transfusions and increased calories may be indicated, they are
not primary considerations for vaso-occlusive crisis.
D School work and diversion are not major considerations when the child is in a
vaso-occlusive crisis

[Capo]

Wow, this really help

[isabelt_18]

Excellent