The nurse is caring for a school-aged child who had a bone marrow transplant for treatment of leukemia several weeks ago. The child requires protective isolation and infection prevention but is beginning to feel better and is more active
A priority nursing consideration for this client is: 1. Arranging for educators to begin helping the child catch up with school work.
2. Providing games and diversions to keep the child from becoming bored.
3. Preparing the child for discharge.
4. Reducing the risk of caregiver role strain by encouraging parents to take time away.
1. Arranging for educators to begin helping the child catch up with school work.
Rationale:
The child who faces long-term hospitalization will fall behind in school, and the involvement of educators is very important as soon as the child feels well enough to begin doing schoolwork in order to prevent the child from being held back a grade upon recovery. Further, school is a normal part of the child's life, so arranging for the continuation of education helps to maintain a sense of normalcy. Games and diversions may be provided in addition, but that is not the priority. Preparation for discharge begins at admission, so this should already be started. Whether or not the parents are experiencing caregiver role strain is not known as no information has been provided about how they are coping.
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