A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which following statement by the guardian indicates an understanding of the teaching?
"I should take my child's rectal temperature daily."
"I'm sure my child will feel beter now that he can ride his bicycle."
"I should inspect my child's mouth for sores once a week."
"I will make sure my child gets a measles, mumps, and rubella vaccine this week."
The Correct Answer is C
Children with leukemia are at increased risk for infection and other complications due to their weakened immune system. One potential complication is oral mucositis, which can cause painful sores in the mouth and throat. Inspecting the child's mouth for sores once a week is a preventive measure that can help identify this complication early and allow for prompt treatment.
Taking the child's rectal temperature daily (A) is not a necessary preventive measure for a child with leukemia unless directed by the healthcare provider.
Riding a bicycle (B) can be a healthy activity for a child with leukemia but it does not prevent complications.
Getting a measles, mumps, and rubella vaccine (D) is important for preventing these specific infectious diseases but it is not directly related to preventing complications in a child with leukemia. The vaccine may also not be recommended for a child with leukemia, depending on their treatment plan and medical history.
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Related Questions
Correct Answer is C
Explanation
A nurse case manager plays various roles in coordinating and managing the care of clients. One of these roles is acting as a coordinator, which involves facilitating the delivery of care and services that are necessary for a client's safe and effective transition from one level of care to another.
Arranging for the delivery of medical equipment to a client's home is part of the coordination role, as it ensures that the client has the necessary equipment to manage their condition or treatment at home.
An advocate role involves representing and protecting the interests of the client, while a systems allocator role involves managing resources within a healthcare system.
A consultant role involves providing expert advice or guidance to other healthcare providers.
Correct Answer is A
Explanation
Case management is a collaborative process that involves assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required to meet the patient's health needs. The case manager is responsible for evaluating the patient's needs and developing a care plan that meets those needs. The case manager works closely with the patient, their family, and the healthcare team to ensure that the care plan is being followed and adjusted as necessary.
Teaching a smoking cessation support group, performing employee risk assessments, and familiarizing with OSHA Standards in the workplace are not responsibilities of the case manager. These tasks are typically performed by other healthcare professionals such as nurses, occupational health nurses, or environmental health and safety professionals.
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