A nurse is admitting a child who has a total WBC count of 1200.
Which of the following clients should the nurse place in the same room with this child?
A child who has rheumatic fever.
A child recovering from a ruptured appendix.
A child who has cystic fibrosis.
A child who has nephrotic syndrome.
The Correct Answer is D
Choice A rationale
A child with rheumatic fever could carry infectious agents that might pose a risk to a child with severe immunocompromise such as low WBC.
Choice B rationale
A child recovering from a ruptured appendix might have residual infection or be at higher risk of infection, which could be dangerous for a child with very low WBC count.
Choice C rationale
A child with cystic fibrosis has a risk of respiratory infections, posing a threat to a child with a compromised immune system like severe neutropenia.
Choice D rationale
A child with nephrotic syndrome does not typically carry infectious risks and would be a safer roommate for a child with a compromised immune system due to low WBC count.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Providing articles from the Internet may not always be reliable and might overwhelm or confuse the client, especially at an emotionally sensitive time.
Choice B rationale
While reassuring the client is important, simply assuring them that the provider will explain later does not empower the client to be actively involved in their care.
Choice C rationale
Encouraging the client to write down questions helps them take an active role in their treatment planning, ensures they remember their concerns, and facilitates a more productive conversation with the provider.
Choice D rationale
Suggesting the client wait for the next appointment can increase anxiety and leave the client feeling unsupported during a critical time when they need information and emotional support.
Correct Answer is D
Explanation
Choice A rationale
Cervical cancer screening is recommended for individuals with a cervix starting at age 21, not necessarily for detecting colorectal cancer. It's an essential screening but irrelevant to middle-aged clients discussing colorectal cancer risk.
Choice B rationale
Lung cancer screening is mainly for people with a history of heavy smoking. Discussing lung cancer screening with a doctor is vital, but it does not address the early detection of colorectal cancer for average-risk individuals.
Choice C rationale
The previous recommendation was to start colorectal cancer screening at age 50. However, guidelines have updated, and this age is now considered outdated for average-risk individuals.
Choice D rationale
Colorectal cancer screening for everyone beginning at age 45 aligns with the latest American Cancer Society guidelines. This change reflects evidence showing the benefit of earlier screening to detect and prevent colorectal cancer in average-risk adults.
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