A nurse is reinforcing discharge teaching about preventing infections with the parent of a child who is receiving chemotherapy and has a platelet count of 100,000/mm3. Which of the following statements by the parent indicates an understanding of the teaching?
"I will take my child's rectal temperature daily to ensure the most accurate reading."
"I will make sure my child receives the MMR vaccine by the end of the week."
"I will take my child to the park to ride her new bike."
"I will inspect the inside of my child's mouth for sores every day."
The Correct Answer is D
Rationale:
A) Taking rectal temperatures may increase the risk of infection and is not typically recommended during chemotherapy.
B) Live vaccines such as MMR are generally contraindicated during chemotherapy due to the risk of vaccine-related complications in immunocompromised individuals.
C) Going to the park may expose the child to environmental pathogens and is not recommended during chemotherapy.
D) Inspecting the inside of the child's mouth for sores is important for early detection of oral mucositis, a common side effect of chemotherapy that can increase the risk of infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A) Scarlet fever is not a nationally notifiable condition.
B) Rotavirus is not a nationally notifiable condition.
C) Erythema infectiosum (Fifth disease) is not a nationally notifiable condition.
D) Pertussis, also known as whooping cough, is a nationally notifiable condition, meaning healthcare providers are required to report cases of pertussis to public health authorities for surveillance and control purposes.
Correct Answer is D
Explanation
Rationale:
A) Weight loss is not typically expected in heart failure; fluid retention and weight gain are more common.
B) A heart rate of 65/min may be within the normal range for a toddler and does not specifically indicate heart failure.
C) Bounding peripheral pulses are not typically associated with heart failure; weak pulses may be more indicative.
D) Decreased urine output can occur in heart failure due to reduced cardiac output and poor renal perfusion.
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