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Chapter 22: Problem 5

Which nursing order should be included in the plan of care for a 2-year old with an adrenal neuroblastoma?a. Palpate abdomen for increased distention daily. b. Weigh all diapers. c. Limit fluids to \(1000 \mathrm{~cd} / 24\) hours. d. Provide a high-carbohydrate, low-protein diet.

Short Answer

Expert verified
b. Weigh all diapers.

Step by step solution

01

- Understand the Condition

Adrenal neuroblastoma is a cancer that develops from immature nerve cells found in several areas of the body. It most commonly affects children and often starts in the adrenal glands.
02

- Identify Symptoms and Its Management

Symptoms may include abdominal pain, a mass in the abdomen, and changes in bowel habits. Management often involves careful monitoring rather than invasive checks which might aggravate the condition.
03

- Examine Each Option

Now, review each nursing order:a. Palpating the abdomen daily might cause discomfort or pain and could potentially worsen the condition.b. Weighing all diapers helps monitor the child's hydration status without being invasive.c. Limiting fluids to 1000 ml/24 hours might not be appropriate without specific indications.d. A high-carbohydrate, low-protein diet is not directly relevant for adrenal neuroblastoma management.
04

- Select the Most Appropriate Nursing Order

Weighing all diapers is the most appropriate as it helps to monitor the fluid balance and hydration status without causing any additional harm or discomfort to the patient.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Pediatric Cancer Management
Managing pediatric cancer involves a comprehensive approach to ensure the child's safety, comfort, and overall well-being.
Adrenal neuroblastoma, a cancer commonly found in children, requires vigilant care and thorough monitoring. Early diagnosis and timely interventions are crucial.
Key aspects of management include:
  • Regular imaging and lab tests to monitor the progression.
  • Medication to manage pain and symptoms.
  • Collaborative plans with oncologists and specialized pediatric teams.
Each step aims to minimize suffering and maximize the effectiveness of treatments.
Nursing Interventions
Nursing interventions are critical in the care of children with adrenal neuroblastoma.
They include non-invasive and supportive measures to ensure the child's comfort.
Some important interventions are:
  • Monitoring and recording weight regularly using non-invasive methods, like weighing diapers, to track fluid balance.
  • Administering prescribed medications and managing side effects.
  • Providing emotional support to both the child and their families, creating a comforting environment.
These interventions are essential in fostering a caring, supportive atmosphere during treatment.
Hydration Monitoring
Hydration is a key concern in managing childhood cancers.
Proper hydration prevents complications and promotes healing.
Weighing diapers is an effective method in young children to monitor fluid intake and output. This helps to:
  • Ensure the child is not dehydrated.
  • Adjust fluids based on the child's needs, without causing discomfort.
  • Track any changes in condition accurately and promptly.
Maintaining hydration is thus a priority in pediatric cancer care.
Childhood Oncology Care
Childhood oncology care focuses on tailored treatments and compassionate care.
It involves a multi-disciplinary team approach to achieve the best outcomes.
Essential components include:
  • Customized treatment plans involving surgery, chemotherapy, and radiation as needed.
  • Pain management and palliative care options tailored to each child's needs.
  • Continuous support and education for families to navigate the complexities of treatment.
The goal is to provide holistic and patient-centered care to young cancer patients.

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Most popular questions from this chapter

When a mother of a child with a viral illness asks the nurse what she should do when her child runs a fever, the nurse would recommend: a. placing the child in a bathtub of cold water. b. giving the child acetaminophen according to the label directions. c. giving the child baby aspirin according to the label directions. d. bringing the child to the emergency room if the child's temperature was over \(99^{\circ} \mathrm{F}\)

Flaccid paralysis would be an expected assessment finding in which client? a. A client with an upper motor neuron injury b. A client with a lower motor neuron injury c. A client with Brown-S茅quard syndrome d. A client with anterior cord syndrome

A newborn is admitted to the pediatric hospital with a meningocele. In which position would the nurse place the infant during the preoperative period? a. Prone b. Supine c. High Fowler's d. Semi-Fowler's

When caring for a client with an upper motor neuron spinal cord injury, on what basis would the nurse conclude that the period of spinal shock is over? a. Client is hemodynamically stable. b. Client's spinal reflexes have returned. c. Client experiences an episode of autonomic hyperreflexia. d. Client sweats above the level of injury.

Why is it important to determine the exact time that the S\&S developed in a client who presents at the emergency room with a stroke? a. Diagnostic laboratory values change during the first 8 hours after stroke. b. The tPA therapy if appropriate, must be given within the first 3 hours after the onset of symptoms. c. Differentiation between ischemic and hemorrhagic stroke is not possible once 4 hours have elapsed. d. Size of the lesion cannot be determined for at least 48 hours.
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