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 C
Explanation
Rationale:
A) The diastolic value is recorded as the disappearance of Korotkoff sounds (K5), not the first sound (K1).
B) The cuff pressure should be released at a rate of 2-3 mm Hg/second, not 5 mm Hg/second.
C) Positioning the child's arm at the level of the heart ensures an accurate blood pressure measurement.
D) The cuff bladder size should be approximately 40% of the child's upper arm circumference, not 20%.
Correct Answer is B
Explanation
Rationale:
A) It is recommended to use fresh or frozen fruits and vegetables rather than canned due to concerns about added sugars and sodium.
B) Introducing one new food every 5 to 7 days helps identify potential allergies or intolerances and allows the infant's digestive system to adjust to new foods.
C) The amount of solid food introduced initially is typically smaller, usually starting with a teaspoon or so, gradually increasing as the infant gets accustomed to eating solids.
D) Adding rice cereal to a bottle is not recommended as it can increase the risk of choking and does not promote self-feeding skills.
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