Nursing care of a child who is immunosuppressed due to leukemia or chemotherapeutic agents should include:

(choose one best answer)

Choice A: Performing range of motion on the infant's hips is not appropriate for an infant who has myelomeningocele, which is a type of spina bifida that causes a sac-like protrusion of the spinal cord and nerves through an opening in the spine. Performing range of motion on the infant's hips can cause nerve damage or pain in the lower extremities, which may already be affected by the condition.

Choice B: Taking an axillary temperature is appropriate for an infant who has myelomeningocele, as it is a non-invasive and accurate method of measuring body temperature. An axillary temperature is taken by placing a thermometer under the armpit and holding the arm close to the body. Taking an axillary temperature can help monitor for signs of infection or inflammation, which are common complications of myelomeningocele.

Choice C: Placing the infant in a side-lying position is not appropriate for an infant who has myelomeningocele, as it can cause pressure or friction on the sac and increase the risk of rupture or infection. The correct position for an infant with myelomeningocele is prone with hips slightly flexed and legs abducted. This position can prevent trauma and promote drainage from the sac.

Choice D: Maintaining a dry dressing over the sac is not appropriate for an infant who has myelomeningocele, as it can cause irritation or infection of the sac and surrounding skin. The correct dressing for an infant with myelomeningocele is moist and sterile with saline or antibiotic solution. This dressing can prevent drying and cracking of the sac and reduce bacterial growth.

Choice A: Polyuria is not a finding of nephrotic syndrome, but rather a finding of diabetes mellitus or diabetes insipidus. Polyuria means excessive urination, which can cause dehydration and electrolyte imbalance.

Choice B: Smoky brown urine is not a finding of nephrotic syndrome, but rather a finding of acute glomerulonephritis or hemolytic uremic syndrome. Smoky brown urine means that there is blood in the urine, which can indicate damage to the glomeruli, the filtering units of the kidneys.

Choice C: Hypertension is not a finding of nephrotic syndrome, but rather a finding of chronic kidney disease or renal artery stenosis. Hypertension means high blood pressure, which can cause damage to the blood vessels and organs.

Choice D: Facial edema is a common finding of nephrotic syndrome, as nephrotic syndrome is a condition in which the kidneys leak large amounts of protein into the urine, causing low blood protein levels and fluid retention. Facial edema means swelling of the face, especially around the eyes, which can occur due to gravity and fluid shifts.