A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Avoid raw fruits and vegetables in the child's diet.
Administer vaccines prior to discharge.
Obtain the child's rectal temperature once daily.
Bathe the child every other day.
The Correct Answer is A
Choice A reason: Avoiding raw fruits and vegetables is crucial for a child with neutropenia because these foods can harbor bacteria that may cause infection in a child with a weakened immune system. It is important to minimize the risk of infection by providing a diet that includes cooked or thoroughly washed fruits and vegetables.
Choice B reason: Administering vaccines prior to discharge may not be appropriate for a child with neutropenia, as live vaccines are contraindicated due to the risk of infection. Vaccination should be deferred until the child's immune system has recovered.
Choice C reason: Obtaining the child's rectal temperature once daily is not recommended for a child with neutropenia due to the risk of introducing bacteria into the body, which can lead to infection.
Choice D reason: Bathing the child every other day does not directly relate to the care of neutropenia. While personal hygiene is important, the frequency of bathing should be based on the child's needs and condition.
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Related Questions
Correct Answer is D
Explanation
Choice A reason: Genital herpes simplex virus is a common sexually transmitted infection, but it is not nationally notifiable. It is managed with antiviral medications and patient education.
Choice B reason: Bacterial vaginosis is a condition caused by an imbalance of bacteria in the vagina and is not classified as a sexually transmitted infection. It is not nationally notifiable.
Choice C reason: Trichomoniasis is a sexually transmitted infection caused by a parasite. While it is common and treatable, it is not nationally notifiable.
Choice D reason: Gonorrhea is a sexually transmitted bacterial infection that is nationally notifiable. Public health departments track cases of gonorrhea to monitor and control outbreaks.
Choice E reason: Human papillomavirus (HPV) is the most common sexually transmitted infection and can lead to health problems like genital warts and cancers. However, it is not nationally notifiable.
Correct Answer is B
Explanation
Choice A reason: Preparing to administer a potassium IV bolus is not typically indicated in sickle cell crisis unless there is a documented potassium deficiency. Potassium levels must be carefully monitored to avoid hyperkalemia.
Choice B reason: Providing hydration both orally and intravenously is crucial in managing sickle cell crisis. Hydration helps to reduce blood viscosity and improve circulation, which can alleviate the pain and prevent further sickling of red blood cells.
Choice C reason: Requesting a prescription for meperidine is not recommended for pain management in sickle cell crisis due to the risk of seizures and other side effects. Other pain medications, such as morphine, are preferred.
Choice D reason: Administering multiple units of platelets is not a standard treatment for sickle cell crisis. Platelet transfusion is typically reserved for patients with thrombocytopenia or active bleeding, not for sickle cell crisis.
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