A school-age child, diagnosed with rhabdomyosarcoma, is experiencing nausea and vomiting related to the prescribed chemotherapy in spite of the use of antiemetics. The mother is pushing the child to eat the food. Which statement by the nurse is appropriate to address this situation?
1. "Since your child is receiving IV fluids, it is not important to push oral intake of food."
2. "A food aversion may occur if you continue to force your child to eat."
3. "Emesis that is caused by your child being force-fed can damage the stomach."
4. "A psychologic conflict could occur between you and your child if you continue to push eating."
2
Explanation:
1. Intravenous fluids do not replace normal food intake.
2. If the child is forced to eat and then vomits, the child can develop a food aversion in which the child associates that food with vomiting.
3. Vomiting is unpleasant but does not usually lead to stomach damage.
4. This is not a correct statement. Parents and children often disagree, but the child will still relate to the parent.
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