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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What should the client with ulcerative colitis who is prescribed sulfasalazine (Azulfidine) be taught?
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When preparing a plan of care for an immobilized patient, the nurse should
a. Use established expected outcomes to evaluate the patient's response to care. b. Display an air of professional superiority when interventions are not successful. c. Never vary from interventions that have been successful for other patients. d. Use objective data only in determining whether interventions have been successful.
A principal called the school nurse into his office and asked, "Will this student be able to attend our school?" after handing over the medical record of a severely handicapped prospective student. What is your response?
a. "Legally all students have a right to public education in the least restrictive environment possible so let me think how we can manage." b. "The student clearly won't be comfortable here; other students can be so cruel; let me talk to the student's family." c. "There are schools that specialize in the care of the severely handicapped; let me get in touch to see if one of those schools has the needed resources." d. "This student is so handicapped there is no way to manage the needed care; the family needs a home schooling teacher."