A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?

A. A hemoglobin level of 6.8 g/dL is lower than the normal range for a child (9.5 to 14 g/dL). This indicates anemia, which is a common issue in leukemia due to the disease affecting red blood cell production. Although this level is concerning, it does not necessarily reflect a therapeutic effect of treatment.
B. A WBC count of 15,000/mm³ is elevated compared to the normal range (5,000 to 10,000/mm³). In the context of ALL, high white blood cell counts can indicate active disease or ineffective treatment. Therapeutic effects are generally indicated by a reduction in WBC count towards the normal range.
C. The RBC count of 5/mm³ is within the normal range for a 4-year-old child (4 to 5.5/mm³). This finding suggests that red blood cell production is relatively stable. However, in the context of leukemia treatment, the focus is often on other indicators such as WBC count and platelet count to assess treatment effectiveness
D. A platelet count of 98,000/mm³ is lower than the normal range (150,000 to 400,000/mm³), indicating thrombocytopenia (low platelet count). In children with leukemia, treatment often aims to normalize platelet counts or at least improve them from very low levels.

A. Pediculosis capitis, also known as head lice, is transmitted through direct head-to-head contact or by sharing personal items such as hats or combs. It is not transmitted via respiratory droplets, so droplet precautions are not required. Standard precautions for lice, such as treating the infestation and avoiding close contact, are appropriate.
B. Viral conjunctivitis, also known as pink eye, is primarily spread through direct contact with the eye secretions or contaminated objects. While viral conjunctivitis can be spread via contact, it does not require droplet precautions. Instead, proper hand hygiene and contact precautions are important to prevent the spread of the infection.
C. Hepatitis A is transmitted primarily through the fecal-oral route and not through respiratory droplets. Therefore, droplet precautions are not necessary. Standard precautions, including proper hand hygiene and safe food handling, are important for preventing the spread of hepatitis A.
D. Seasonal influenza (flu) is transmitted via respiratory droplets when an infected person coughs or sneezes. Droplet precautions are recommended for individuals with influenza to prevent the spread of the virus. This includes wearing masks, practicing good hand hygiene, and maintaining distance from others.