A child from a culture other than the nurse's has recently been ...

[joesmith1212]

A child from a culture other than the nurse's has recently been diagnosed with leukemia. The child's sibling is expressing feelings of anger and guilt. This reaction by the sibling is very upsetting to the parents of the client.
 
  The nurse would explain to the family that the sibling's behavior is: 1. Abnormal and the sibling should be referred to a psychologist.
   2. Normal because the illness doesn't affect the sibling.
   3. Unexpected because the cancer is easily treated.
   4. Normal because the sibling is also affected, and anger and guilt are expected feelings.

Question 2

The nurse instructs a client with allergic contact dermatitis of the left hand to:
 
  1. Apply topical steroid once a day before sleep.
   2. Soak hand in Burow's solution.
   3. Apply a thin film of steroid cream to damp skin area for 23 weeks.
   4. Apply a thick layer of steroid cream to dry skin area twice a day for 1 month.

[BUTTHOL369]

Answer to Question 1

4. Normal because the sibling is also affected, and anger and guilt are expected feelings.

Rationale:
A diagnosis of cancer affects the whole family, and initial feelings experienced by the sibling may be anger and guilt. Seldom will the sibling be unaffected; however, the response is not abnormal.

Answer to Question 2

3. Apply a thin film of steroid cream to damp skin area for 23 weeks.

Rationale:
The client should be instructed to apply a thin layer of steroid cream to damp affected skin for 2  3 weeks. Applying the steroid once a day before sleep may not be enough. Burow's solution is indicated for irritant contact dermatitis. The steroid cream should not be applied in a thick layer.

[joesmith1212]

Thanks for the timely response, appreciate it

[jomama]

Excellent