Nursing care of a child who is immunosuppressed due to leukemia or chemotherapeutic agents should include:
(choose one best answer)
Have them share a room with a child with active mumps
Restrict oral fluids
Strict isolation
Use good handwashing
The Correct Answer is D
Choice A reason: This choice is incorrect because having them share a room with a child with active mumps may expose them to infection and worsen their condition. A child who is immunosuppressed due to leukemia or chemotherapeutic agents has a weakened immune system and is more susceptible to infections from bacteria, viruses, fungi, or parasites. Therefore, they should be placed in a private room or cohorted with another immunosuppressed child.
Choice B reason: This choice is incorrect because restricting oral fluids may cause dehydration and electrolyte imbalance in the child who is immunosuppressed due to leukemia or chemotherapeutic agents. A child who is immunosuppressed due to leukemia or chemotherapeutic agents may have increased fluid losses from vomiting, diarrhea, fever, or sweating. Therefore, they should be encouraged to drink adequate fluids to maintain hydration and electrolyte balance.
Choice C reason: This choice is incorrect because strict isolation may cause psychological distress and social isolation in the child who is immunosuppressed due to leukemia or chemotherapeutic agents. A child who is immunosuppressed due to leukemia or chemotherapeutic agents may benefit from protective isolation, which involves using standard precautions and additional measures such as wearing gloves, gowns, masks, or eye protection when in contact with the child or their body fluids. However, strict isolation, which involves limiting visitors and activities, may harm the child's emotional and developmental well-being.
Choice D reason: This choice is correct because using good handwashing is essential nursing care for a child who is immunosuppressed due to leukemia or chemotherapeutic agents. Handwashing is the most effective way to prevent the transmission of microorganisms that can cause infections. The nurse should wash their hands before and after touching the child or their belongings, and teach the child and their family members to do the same. The nurse should also use alcohol-based hand rubs when water and soap are not available.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Torticollis is not a disorder that causes lateral curvature of the spine, but rather a condition that causes tilting or twisting of the neck due to contraction or spasm of the sternocleidomastoid muscle. Torticollis can cause pain, stiffness, or limited range of motion in the neck. Torticollis can be congenital or acquired due to injury, infection, or posture.
Choice B: Lordosis is not a disorder that causes lateral curvature of the spine, but rather a condition that causes excessive inward curvature of the lower spine. Lordosis can cause back pain, stiffness, or difficulty in movement. Lordosis can be congenital or acquired due to obesity, pregnancy, osteoporosis, or spondylolisthesis.
Choice C: Kyphosis is not a disorder that causes lateral curvature of the spine, but rather a condition that causes excessive outward curvature of the upper spine. Kyphosis can cause a hunchback appearance, back pain, stiffness, or breathing problems. Kyphosis can be congenital or acquired due to aging, osteoporosis, arthritis, or spinal injury.
Choice D: Scoliosis is a disorder that causes lateral curvature of the spine in one or more places. Scoliosis can cause uneven shoulders or hips, back pain, fatigue, or breathing problems. Scoliosis can be congenital or idiopathic (unknown cause). Scoliosis can be diagnosed by physical examination and X-ray and treated by braces or surgery depending on the severity and progression of the curve.
Correct Answer is D
Explanation
Choice A: Restraining the child's arms is not an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can cause injury to the child or the nurse. Restraining the child's arms can also increase the child's anxiety and agitation, which can worsen the seizure.
Choice B: Using a padded tongue blade is not an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can cause injury to the child's mouth, teeth, or tongue. Using a padded tongue blade can also increase the risk of choking or aspiration, which can compromise the child's airway.
Choice C: Attempting to stop the seizure is not an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can be ineffective or harmful. Attempting to stop the seizure can also interfere with the natural course of the seizure, which may be necessary for the brain to recover.
Choice D: Positioning the child laterally is an appropriate action for a nurse to take when caring for a child who is experiencing a seizure, as this can help maintain the child's airway and prevent aspiration. Positioning the child laterally means placing the child on their side with their head tilted slightly forward and their mouth open.
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