Author Question: A client who has end-stage colorectal cancer has an ileostomy and a central venous line. The surgery ... (Read 15 times)

stephzh · **on:** Jul 22, 2018

A client who has end-stage colorectal cancer has an ileostomy and a central venous line. The surgery that constructed the ostomy is classified as:

a. curative c. palliative
b. elective d. reconstructive

Question 2

Which of these instructions should the nurse give to parents of children who have sickle-cell anemia?

a. Allow the child to lead a normal life.
b. Have the child immunized with pneumococcal, meningococcal, and hepatitis B vaccines.
c. Supplement the child's diet with oral iron drops.
d. Seek symptomatic treatment before crises arise.

bfulkerson77 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Palliative surgery is performed primarily to relieve symptoms that arise when the original cancer has metastasized; it does not change the outcome or course of the disease. The nurse's primary role following this type of surgery is to keep the client comfortable.

Answer to Question 2

B
Sickle cell anemia is a genetic disorder. Red blood cells sickle when the child has an infection, dehydration, hypoxia, trauma, or general physical or emotional stress. Common symptoms include abdominal pain, fever, severe leg pain, and hot, swollen joints. High altitudes, poorly pressurized airplanes, and exposure to heat and cold must be avoided.