A nurse is providing discharge teaching to the parent of a 5-year-old child who has leukemia and is receiving chemotherapy. Which of the following statements by the parent indicates an understanding of the teaching?
"I will take my child's rectal temperature daily."
"I will make sure to inspect my child's mouth every day for sores."
"I will make sure my child gets their MMR vaccine this week."
"I will ensure my child exercises a little each day by riding their bicycle."
The Correct Answer is B
A. "I will take my child's rectal temperature daily.": Taking a rectal temperature in a child receiving chemotherapy is not recommended because it increases the risk of rectal injury and infection. An oral or axillary temperature is preferred.
B. "I will make sure to inspect my child's mouth every day for sores." Chemotherapy suppresses the immune system, leaving the child vulnerable to infections such as mucositis. Inspecting the mouth daily is crucial to detect any sores or signs of infection early and prevent complications.
C. "I will make sure my child gets their MMR vaccine this week.": Live vaccines like the MMR (measles, mumps, rubella) vaccine should not be given during chemotherapy or other forms of immunosuppressive treatment.
D. "I will ensure my child exercises a little each day by riding their bicycle.": Exercise may be limited during chemotherapy due to fatigue and increased susceptibility to infection. Physical activity should be tailored to the child's ability and energy level, not mandated.
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Related Questions
Correct Answer is D
Explanation
A. "Place your baby in a side-lying position when sleeping." The recommended sleep position for infants is on their back to reduce the risk of sudden infant death syndrome (SIDS).
B. "Use a drop-side crib until your baby is at least 6 months old." Drop-side cribs are not recommended due to the risk of injury or suffocation; they have been banned in many regions.
C. "Apply a plastic mattress cover to your baby's bed to protect it." Plastic mattress covers increase the risk of suffocation and are not recommended.
D. "Keep your infant restrained when they are in a highchair." Proper restraints prevent falls or injuries when the infant is seated in a highchair.
Correct Answer is D
Explanation
A. Cover the equipment used in the infant's care prior to the parents' first visit: While this might reduce visual distress, it does not directly support the grieving process or involve the parents in meaningful interactions.
B. Reduce the parents' distress by limiting the duration of their visit: Limiting visit time may increase distress by reducing opportunities for the parents to process emotions.
C. Avoid leaving the parents alone with the infant during their visit: Parents may value privacy to express their feelings and bond with the infant without outside observation.
D. Involve the parents in the infant's caregiving activities during their visit. Involving parents in caregiving helps them feel connected to their child and provides meaningful time to bond, which supports healthy grieving.
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