The nurse is caring for a child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression. Which of the following SHOULD NOT be included in the teaching plan for the child and parents about reducing the child's risk for infection? Select all that apply
Encouraging frequent, thorough handwashing
Having the child sleep in a single bed and room.
Encouraging frequent close contact with visitors.
Cheering up the environment with fresh flowers and plants.
Protecting the central venous access device from non-sterile access
Correct Answer : C,D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Deflecting the question to the doctor does not provide the patient with helpful information and shows a lack of communication.
B. While the test can indicate renal impairment, it is more accurate to say it assesses overall kidney function rather than confirming a specific disease.
C. Although medications can affect kidney function, the serum creatinine level is not specifically for evaluating medication interference.
D. The serum creatinine test is a standard measure of kidney function, indicating how well the kidneys are filtering waste from the blood.
Correct Answer is A
Explanation
A. The primary treatment for congenital aganglionic megacolon (Hirschsprung's disease) is surgical intervention to remove the affected segment of the bowel, allowing for normal bowel function and preventing complications such as bowel obstruction.
B. Oral iron preparations would not address the underlying condition of Hirschsprung's disease, which is related to the lack of nerve cells in the bowel.
C. While counseling may be beneficial for the caregivers regarding the diagnosis and care, it is not the primary treatment for Hirschsprung's disease.
D. While enemas may be used temporarily to relieve constipation, they are not a definitive treatment for the disease, which requires surgical correction.
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