Author Question: The 9-year-old child with leukemia who is on palliative care has drawn a picture of a boy under a ... (Read 81 times)

kfurse · **on:** Jul 11, 2018

The 9-year-old child with leukemia who is on palliative care has drawn a picture of a boy under a huge black cloud that has lightning coming out of it. Which of the following would be an appropriate intervention for the nurse?

a. What is this picture about?
b. Are you afraid of lightning?
c. I bet this is a picture of you, isn't it?
d. Is it about to rain in your picture?

Question 2

What must a patient undergo before a bone marrow transplant?

a. A thorough nutritional plan to support new marrow
b. Total body irradiation to kill all the marrow cells
c. A physical therapy program to strengthen the body
d. Inhalation therapy to reduce possible pathogens in the lungs

Dinolord · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A
Asking what the child has drawn is a neutral and nonthreatening question. Drawings can give a clue to perceptions and emotions that a young child may not be able to verbalize. The nurse should not try to interpret the drawing.

Answer to Question 2

ANS: B
Before the actual marrow transplant, the patient must undergo total body irradiation or chemotherapy to kill all the marrow cells and the leukemic cells. The patient is at a major risk for infection at this time.