A five-year-old child is on chemotherapy for rhabdomyosarcoma. Despite antiemetics, the child complains of nausea. The mother wants the child to eat and is pushing the child to eat the food
The nurse would talk with the mother and suggest that she not push the food on the nauseated child because: 1. The child does not need to eat as he is on intravenous fluids.
2. Forcing the child to eat may lead to a food aversion for the child.
3. Vomiting can lead to damage to the stomach.
4. Pushing the child to eat leads to a psychological conflict that may turn the child away from the parent.
2
Rationale 1: Intravenous fluids do not replace normal food intake.
Rationale 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.
Rationale 3: Vomiting is unpleasant but does not usually lead to stomach damage.
Rationale 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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