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 A
Explanation
A. An oral rehydration solution is specifically designed to replace lost fluids and electrolytes, making it the best choice for children recovering from gastroenteritis.
B. Water alone does not provide the necessary electrolytes and may not effectively rehydrate the child.
C. Broth can provide some hydration but lacks the specific electrolyte balance found in oral rehydration solutions.
D. Diluted apple juice is not as effective for rehydration as a balanced oral rehydration solution, which is specifically formulated for this purpose.
Correct Answer is C
Explanation
A. Soccer is a contact sport with a high risk of injury, which is not suitable for a child with hemophilia.
B. Gymnastics can also pose risks of falls and injuries that are not advisable for children with bleeding disorders.
C. Swimming is generally considered safe for children with hemophilia as it is a non-contact activity and does not involve high risk of injury.
D. Football is a contact sport and carries a high risk of trauma, making it unsafe for children with hemophilia.
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