In caring for a hospitalized eight-year-old child with myelodysplasia, the nurse should remember to: Standard Text: Select all that apply
1. Expect the child to have normal intelligence.
2. Use latex precautions.
3. Allow the child to do her own self-catheterization.
4. Ensure that the child has a low-fiber diet.
5. Encourage the child to shift positions hourly when in her wheelchair.
1,2,3,5
Rationale 1: Many children with myelodysplasia have normal intellect. They should be treated according to their intellectual level rather than their motor development.
Rationale 2: Children with myelodysplasia are at great risk for latex allergy. It is important to use latex-free products.
Rationale 3: Self-catheterization fosters independence in this child. It is important to maintain the same schedule as much as possible when this child is hospitalized.
Rationale 4: Children with myelodysplasia need a high-fiber diet to maintain adequate stool and bowel function.
Rationale 5: Due to decreased sensation in the buttocks and lower extremities, it is very important for the child to shift positions while she is in her wheelchair to prevent pressure sores.
Global
You might also like to view...
A surgeon prescribes potassium chloride 20 mEq by mouth for a patient with a nasogastric (NG) tube for gastric drainage. How should the nurse proceed?
1) Seek clarification from the surgeon about the medication order. 2) Clamp the NG tube while administering the dose by mouth. 3) Instill the medication through the NG tube. 4) Withhold the oral potassium chloride elixir.
A nursing student wants to know why a patient who has been taking levodopa [Dopar] for years will now receive levodopa/carbidopa [Sinemet]. The nurse explains the reasons that levodopa as a single agent is no longer available
Which statement by the student indicates a need for further education? a. "Carbidopa increases the availability of levodopa in the central nervous system." b. "Carbidopa reduces the incidence of nau-sea and vomiting." c. "Combination products reduce peripheral cardiovascular side effects." d. "Combination products cause fewer dyskinesias and decreased psychosis."
Formula-fed newborns compared to breastfeeding newborns:
a. will go longer between feedings b. will feed at about the same intervals c. will require more frequent feedings d. are unpredictable in how they will compare
A client has been diagnosed with stage 4 pancreatic cancer. The family asks the nurse what staging is. The nurse explains that:
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Staging determines the location of the cancer. 2. The involvement of lymph nodes is assessed during staging. 3. Staging changes as the cancer progresses. 4. The lower the stage of cancer at diagnosis, the better the prognosis. 5. Staging examines cancerous cells under a microscope and compares them to normal cells.