A nurse is planning care for a child who has neutropenia due to leukemia. Which of the following interventions should the nurse include in the plan of care?

Screen the child's visitors for active infections.

Monitor the child for indications of active bleeding.

Initiate a low-protein diet for the child.

Prepare the child for a platelet transfusion.

Answer and Explanation

The Correct Answer is A

A. Screen the child's visitors for active infections: Children with neutropenia have a significantly reduced ability to fight infections due to low neutrophil counts. Screening visitors for signs of infection helps prevent exposure to pathogens, which is a critical infection-control measure in neutropenic patients.

B. Monitor the child for indications of active bleeding: While monitoring for bleeding is important in leukemia, bleeding risk is primarily related to thrombocytopenia, not neutropenia. This intervention is relevant but not the priority for infection prevention.

C. Initiate a low-protein diet for the child: A low-protein diet is not indicated and may be harmful, as children with leukemia require adequate protein for growth, immune function, and recovery. Dietary restrictions should focus on food safety, not protein limitation.

D. Prepare the child for a platelet transfusion: Platelet transfusions are indicated for thrombocytopenia, not neutropenia. While supportive care may include transfusions, infection prevention through visitor screening is more directly related to neutropenic risk.

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Correct Answer is A

Explanation

A. 0.9% normal saline: Initial fluid resuscitation in diabetic ketoacidosis (DKA) requires isotonic fluids like 0.9% normal saline to restore intravascular volume, improve perfusion, and correct electrolyte imbalances. This is the first-line intervention before initiating insulin therapy.

B. 0.45% saline: Half-normal saline is hypotonic and may be used later in DKA management if the client is stable and serum sodium is elevated. It is not appropriate as the initial continuous infusion because it does not provide adequate intravascular volume replacement.

C. Glargine insulin: Glargine is a long-acting insulin used for basal glucose control, not for acute management of DKA. Continuous IV insulin is required to rapidly reduce blood glucose and ketone levels.

D. NPH insulin: NPH is an intermediate-acting insulin administered subcutaneously. It is not suitable for continuous IV infusion in DKA, as IV insulin is preferred for rapid and controlled glucose reduction.

A. Expected outcome of the procedure B. Cost of the procedure C. Potential complications D. Explanation of the procedure E. Possible alternative treatments

Correct Answer is ["A","C","D","E"]

Explanation

A. Expected outcome of the procedure: The provider must explain the expected outcome so the client understands the purpose and anticipated benefits of the colon resection. This information is essential for informed consent.

B. Cost of the procedure: The financial cost is not part of the informed consent process and is typically discussed by administrative or billing staff, not the provider. It does not affect the client’s medical decision-making.

C. Potential complications: The provider must inform the client of potential risks and complications associated with the procedure. Understanding possible adverse outcomes is critical for the client to make an informed choice.

D. Explanation of the procedure: A clear explanation of how the procedure will be performed allows the client to understand what to expect during surgery, which is a core component of informed consent.

E. Possible alternative treatments: The provider should discuss alternative treatments or procedures, including non-surgical options, so the client can weigh all choices and make an informed decision about care.

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A nurse is planning care for a child who has neutropenia due to leukemia. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has diabetic ketoacidosis. Which of the following types of continuous infusions should the nurse initiate?

Correct Answer is A

Explanation

A nurse is preparing to witness a client's signature on a consent form for a colon resection. The nurse should recognize that which of the following information should be provided to the client by the provider before signing the form? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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