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?

A. Area of trauma: Trauma sites may have bruising, inflammation, or localized discoloration, which can mask or mimic cyanosis. Assessing these areas is unreliable for detecting systemic oxygenation deficits.

B. Shoulders: The shoulders are typically covered with more pigmented skin and subcutaneous tissue, making color changes less apparent. Cyanosis may be difficult to detect in these areas in clients with dark skin.

C. Sacrum: While the sacrum is prone to pressure injuries, it is not an optimal site for assessing cyanosis. Skin pigmentation and local pressure effects can obscure subtle changes in oxygenation.

D. Palms of the hands: The palms, along with the soles of the feet and nail beds, have less melanin and thinner epidermis, making them reliable sites for detecting cyanosis in clients with dark skin. Bluish discoloration in these areas can indicate hypoxemia.

A. Clean blood-contaminated surfaces with bleach: HIV can be transmitted through contact with infected blood. Using a bleach solution to disinfect blood-contaminated surfaces effectively kills the virus, making this an essential infection-prevention measure.

B. Buy disposable dishes for daily use: HIV is not transmitted through casual contact or shared dishes, utensils, or food. Encouraging disposable dishes is unnecessary and does not contribute to infection prevention.

C. Wash soiled clothes in cold water: HIV is not transmitted through clothing or laundry. Additionally, washing in cold water is less effective at removing pathogens; hot water with detergent is preferred for general hygiene, but special precautions for HIV are not required.

D. Use condoms with a petroleum-based lubricant: Petroleum-based lubricants can degrade latex condoms, increasing the risk of breakage. Clients should use water-based or silicone-based lubricants with condoms to reduce the risk of HIV transmission.