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.
Prepare the child for a platelet transfusion.
Monitor the child for indications of active bleeding.
Initiate a low-protein diet for the child.
The Correct Answer is A
A. Screen the child's visitors for active infections. Neutropenia places the child at high risk for infection due to a severely weakened immune system. Screening visitors for signs of illness is essential to minimize exposure to infectious agents.
B. Prepare the child for a platelet transfusion. Platelet transfusions are used to treat thrombocytopenia, not neutropenia. While leukemia may cause both conditions, neutropenia specifically increases infection risk, not bleeding risk.
C. Monitor the child for indications of active bleeding. While bleeding is a concern in leukemia, it is more directly linked to low platelet levels. The priority intervention for neutropenia is infection prevention, not bleeding control.
D. Initiate a low-protein diet for the child. A low-protein diet is not appropriate for a child with leukemia. These children need adequate protein for healing, immune support, and maintaining strength during treatment.
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Related Questions
Correct Answer is D
Explanation
A. Encourage a passive communication style. Passive communication can lead to unresolved stress and burnout, as it prevents individuals from expressing their needs or concerns effectively. It is not a recommended strategy for managing compassion fatigue.
B. Publicly confront coworkers when conflict arises. Public confrontation can escalate tension and create a hostile work environment, which contributes to stress rather than alleviating it. Conflict should be addressed professionally and privately.
C. Establish a strong employee code of conduct. While a code of conduct is important for maintaining professional behavior, it does not directly address the emotional toll of compassion fatigue or promote personal well-being among staff.
D. Focus on self-care. Self-care is essential in preventing and managing compassion fatigue, which results from the emotional demands of caring for others. Encouraging activities that promote emotional, physical, and mental well-being helps staff maintain resilience and avoid burnout.
Correct Answer is B
Explanation
A. "My home has running water and electricity." This statement suggests adequate access to basic utilities, which supports hygiene and reduces risk for illness. It does not indicate a health risk.
B. "I eat vegetables directly from the field where I work." This poses a significant health risk due to potential pesticide exposure and contamination with harmful chemicals or microbes. Produce should be properly washed before consumption to reduce the risk of illness or poisoning.
C. "I wear a hat and long sleeves while I am working." This is a protective behavior, helping to reduce sun exposure, skin damage, and pesticide contact, and is not a health risk.
D. "I am currently sharing my home with two roommates." While crowded living conditions can pose some risk, this alone does not indicate a major health concern, especially if basic sanitation and ventilation are adequate.
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