A nurse caring for a child receiving chemotherapy notes that the ...

[Jramos095]

A nurse caring for a child receiving chemotherapy notes that the child's urine specific gravity is 1.010. Which action by the nurse is the most appropriate?
 
  A.
  Document the findings in the child's chart.
  B.
  Increase the rate of the IV fluids per protocol.
  C.
  Notify the provider about the laboratory results.
  D.
  Prepare to administer an alkalizing agent.

Question 2

A child has cancer, is unresponsive, and is doing poorly. Which action by the nursing student causes the faculty to intervene?
 
  A.
  Allows the parents to hold the child
  B.
  Places the child on NPO status
  C.
  Takes the child's rectal temperature
  D.
  Turns the child even if she moans

[mjbamaung]

Answer to Question 1

ANS: A
Children on chemotherapy should remain well hydrated to ensure the medications and any toxic by-products are flushed out. The urine specific gravity should remain at 1.012 or below. The nurse needs to take no further action after documenting the findings. The IV rate should be increased if the specific gravity is above that level. The provider does not need to be notified specifically about this normal finding. An alkalizing agent is not needed.

Answer to Question 2

ANS: C
The nurse avoids the rectal route for anything: temperatures, suppositories, and enemas are not allowed, as the rectal mucosa is fragile and prone to injury, which can lead to infection. The other actions are appropriate.

[Jramos095]

Excellent

[gcook]

Thanks for the timely response, appreciate it