A school-age child with leukemia experienced severe nausea and ...

[Tirant22]

A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. The most appropriate nursing action to prevent or minimize these reactions with subsequent treatments is to:
 
  a. Encourage drinking large amounts of favorite fluids.
  b. Encourage child to take nothing by mouth (remain NPO) until nausea and vomiting subside.
  c. Administer an antiemetic before chemotherapy begins.
  d. Administer an antiemetic as soon as child has nausea.

Question 2

A boy with leukemia screams whenever he needs to be turned or moved. The most probable cause of this pain is:
 
  a. Edema. c. Petechial hemorrhages.
  b. Bone involvement. d. Changes within the muscles.

[aidanmbrowne]

Answer to Question 1

ANS: C
The most beneficial regimen to minimize nausea and vomiting associated with chemotherapy is to administer the antiemetic before the chemotherapy is begun. The goal is to prevent anticipatory symptoms. Drinking fluids will add to the discomfort of the nausea and vomiting. Encouraging the child to remain NPO will help with this episode, but the child will have the discomfort and be at risk for dehydration. Administering an antiemetic after the child has nausea does not avoid anticipatory nausea.

Answer to Question 2

ANS: B
The invasion of the bone marrow with leukemic cells gradually causes a weakening of the bone and a tendency toward fractures. As leukemic cells invade the periosteum, increasing pressure causes severe pain. Edema, petechial hemorrhages, and muscular changes would not cause severe pain.

[Tirant22]

Correct answers!

[aidanmbrowne]

Great! Please up vote