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
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 being held back a grade when she recovers. Further, school is a normal part of the child's life, so arranging for her to continue their education helps to maintain a sense of normalcy. Games and diversions may be provided in addition, but this is not the priority. Preparation for discharge begins at admission, so this already should have been started. Caregiver role strain is not known, as no information has been provided about how the parents are coping.
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