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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Smiling when a parent appears is not a manifestation of cerebral palsy, but rather a normal developmental milestone that indicates social and emotional development. An 8-month-old infant should be able to smile spontaneously and responsively at familiar people.
Choice B: Using a pincer grasp to pick up a toy is not a manifestation of cerebral palsy, but rather a normal developmental milestone that indicates fine motor development. An 8-month-old infant should be able to use their thumb and index finger to pick up small objects.
Choice C: Sitting with pillow props, cannot sit independently is a manifestation of cerebral palsy, which is a condition that causes impaired movement and posture due to brain damage or abnormal development. An 8-month-old infant should be able to sit without support and maintain balance. Sitting with pillow props, cannot sit independently indicates poor muscle tone, strength, or coordination.
Choice D: Tracking an object with eyes is not a manifestation of cerebral palsy, but rather a normal developmental milestone that indicates visual development. An 8-month-old infant should be able to follow an object or person with their eyes in all directions.
Correct Answer is C
Explanation
Choice A: Hepatitis B (HepB) vaccine is not contraindicated for a child who has an allergy to eggs, as it does not contain any egg protein or other components that can cause an allergic reaction. Hep B vaccine is recommended for all infants at birth and children up to 18 years of age.
Choice B: Inactivated poliovirus (IPV) vaccine is not contraindicated for a child who has an allergy to eggs, as it does not contain any egg protein or other components that can cause an allergic reaction. IPV vaccine is recommended for all children at ages 2, 4, and 6 to 18 months and at ages 4 to 6 years.
Choice C: Influenza, live attenuated (LAIV) vaccine is contraindicated for a child who has an allergy to eggs, as it contains egg protein that can cause an allergic reaction. LAIV vaccine is a nasal spray that contains live but weakened influenza viruses. LAIV vaccine is recommended for healthy children aged 2 years and older who do not have chronic medical conditions or other contraindications.
Choice D: Haemophilus influenzae type b (Hib) vaccine is not contraindicated for a child who has an allergy to eggs, as it does not contain any egg protein or other components that can cause an allergic reaction. Hib vaccine is recommended for all children at ages 2, 4, and 6 months and at ages 12 to 15 months.
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