A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child?
A child who has nephrotic syndrome
A child recovering from a ruptured appendix
A child who has rheumatic fever
A child who has cystic fibrosis
The Correct Answer is A
Choice A reason: This choice is correct because a child who has nephrotic syndrome is the most appropriate roommate for a child who has leukemia. Nephrotic syndrome is a kidney disorder that causes proteinuria, edema, hypoalbuminemia, and hyperlipidemia. It does not pose any risk of infection or injury to the child who has leukemia, and it does not require any isolation or special precautions. Therefore, placing these two children in the same room can help to conserve resources and promote socialization.
Choice B reason: This choice is incorrect because a child recovering from a ruptured appendix is not an appropriate roommate for a child who has leukemia. A ruptured appendix is a medical emergency that occurs when the appendix becomes inflamed and bursts, releasing bacteria and pus into the abdominal cavity. It may cause peritonitis, sepsis, or abscess formation, and it requires surgery and antibiotics. It may pose a risk of infection to a child who has leukemia, who has a weakened immune system due to chemotherapy or bone marrow suppression. Therefore, placing these two children in the same room can increase the chance of cross-contamination and complications.
Choice C reason: This choice is incorrect because a child who has rheumatic fever is not an appropriate roommate for a child who has leukemia. Rheumatic fever is an inflammatory disease that occurs as a complication of streptococcal infection, such as strep throat or scarlet fever. It may affect the heart, joints, skin, or nervous system, and it requires anti-inflammatory and antibiotic medications. It may pose a risk of infection to the child who has leukemia, who has a compromised immune system due to cancer or treatment. Therefore, placing these two children in the same room can increase the likelihood of transmission and infection.
Choice D reason: This choice is incorrect because a child who has cystic fibrosis is not an appropriate roommate for a child who has leukemia. Cystic fibrosis is a genetic disorder that affects the mucus glands of the lungs, pancreas, liver, intestines, and reproductive organs. It causes thick and sticky mucus to build up in the organs, leading to chronic lung infections, pancreatic insufficiency, malnutrition, and infertility. It requires respiratory therapy, enzyme supplements, nutritional support, and antibiotics. It may pose a risk of infection to the child who has leukemia, who has a reduced ability to fight germs due to malignancy or therapy. Therefore, placing these two children in the same room can increase the possibility of exposure and infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Polyuria is not a finding of nephrotic syndrome, but rather a finding of diabetes mellitus or diabetes insipidus. Polyuria means excessive urination, which can cause dehydration and electrolyte imbalance.
Choice B: Smoky brown urine is not a finding of nephrotic syndrome, but rather a finding of acute glomerulonephritis or hemolytic uremic syndrome. Smoky brown urine means that there is blood in the urine, which can indicate damage to the glomeruli, the filtering units of the kidneys.
Choice C: Hypertension is not a finding of nephrotic syndrome, but rather a finding of chronic kidney disease or renal artery stenosis. Hypertension means high blood pressure, which can cause damage to the blood vessels and organs.
Choice D: Facial edema is a common finding of nephrotic syndrome, as nephrotic syndrome is a condition in which the kidneys leak large amounts of protein into the urine, causing low blood protein levels and fluid retention. Facial edema means swelling of the face, especially around the eyes, which can occur due to gravity and fluid shifts.
Correct Answer is A
Explanation
Choice A: Applying heat to a bleeding site can increase blood flow and worsen the bleeding. This statement indicates a need for further teaching, as the parent should avoid applying heat and use cold compresses instead.
Choice B: Having the child rest can reduce physical activity and prevent further injury or bleeding. This statement indicates that the parent understands the teaching, as resting is one of the recommended actions for controlling a minor bleeding episode.
Choice C: Compressing the site can apply pressure and stop the bleeding. This statement indicates that the parent understands the teaching, as compressing is one of the recommended actions for controlling a minor bleeding episode.
Choice D: Elevating the affected part can reduce blood pressure and slow down the bleeding. This statement indicates that the parent understands the teaching, as elevating is one of the recommended actions for controlling a minor bleeding episode.
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