A seasoned nurse is precepting a novice nurse on a pediatric ...

[newyorker26]

A seasoned nurse is precepting a novice nurse on a pediatric oncology unit. The seasoned nurse would like to review the ongoing physiologic and psychosocial care of the children who survive cancer.
 
  Which topics will the seasoned nurse include in the discussion with the novice nurse?
  1. Developing other cancers
  2. Recommending regular office visits
  3. Encouraging school-age clients to manage their own care
  4. Needing weekly laboratory tests
  5. Providing educational and psychosocial support

Question 2

The nurse is planning postoperative care for an infant after a cleft-lip repair. Which nursing intervention is most appropriate for this infant?
 
  1. Prone positioning
  2. Suctioning with a Yankauer device
  3. Supine or side-lying positioning
  4. Avoidance of soft elbow restraints

[connor417]

Answer to Question 1

Correct Answer: 1,2,5
Rationale: Appropriate topics include discussing the increased risk for these children to develop other cancers; recommending regular office visits for monitoring purposes; and providing educational and psychosocial support. It would be appropriate to encourage the adolescent and young adult clients to manage their own care, not a school-age child. While these clients need regular laboratory examinations, weekly laboratory tests are not appropriate.

Answer to Question 2

Correct Answer: 3
Rationale: Integrity of the suture line is essential for postoperative care of cleft-lip repair. The infant should be placed in a supine or side-lying position to avoid rubbing the suture line on the bedding. The prone position should be avoided. A Yankauer suction device is made of hard plastic and, if used, could cause trauma to the suture line. Suctioning should be done with a small, soft suction catheter. Soft elbow restraints may be used to prevent the infant from touching the incisional area.