A nurse is reviewing the discharge plan with the family of an 8 year child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?
I will keep a written document of the treatment plan
I will notify my provider on the next business day if my child has a sore throat
I will use acetominophen if my child needs an analgesic for pain
I will keep a written list of all my child's medical appointments
The Correct Answer is B
A. Keeping a written document of the treatment plan is essential for ensuring continuity of care and effective communication with healthcare providers.
B. Parents should notify their provider immediately, rather than waiting for the next business day, if their child has a sore throat, as this could indicate a possible infection in an immunocompromised child.
C. Using acetaminophen is generally appropriate for managing pain or fever in children receiving chemotherapy, but it should be done with caution regarding dosage and timing.
D. Maintaining a written list of medical appointments helps keep track of the child’s care and is a good practice for managing their health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["8"]
Explanation
To calculate the dosage of diphenhydramine (Benadryl) for the child, we first determine the total milligrams needed per dose by multiplying the child's weight in kilograms by the prescribed milligrams per kilogram. The child weighs 20 kg, so the calculation is 20 kg * 5 mg/kg, which equals 100 mg per dose. The medication is supplied at a concentration of 12.5 mg per 5 ml. To find out how many milliliters are needed to provide 100 mg, we set up a proportion: 12.5 mg/5 ml = 100 mg/x ml. Solving for x gives us x = (100 mg * 5 ml) / 12.5 mg, which equals 40 ml. Therefore, the nurse will administer 40 milliliters of the medication for one dose.
Correct Answer is ["C","D"]
Explanation
A. Frequent, thorough handwashing is essential to prevent infection, especially for immunocompromised children.
B. Having the child sleep in a separate bed and room may help minimize exposure to pathogens from family members.
C. Encouraging frequent close contact with visitors increases the risk of infections and should be avoided.
D. Fresh flowers and plants can harbor bacteria and should be avoided in the environment of an immunocompromised child.
E. Protecting the central venous access device is vital to prevent infections; this practice should be emphasized.
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