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.
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Related Questions
Correct Answer is D
Explanation
A. Constipation can occur but is not a direct symptom of sickle cell crisis; it’s more related to hydration and diet.
B. High fever may occur due to infection, but it is not a guaranteed finding in every sickle cell crisis.
C. Bradycardia is not typically associated with sickle cell crisis; tachycardia is more common due to pain and stress.
D. Pain is the hallmark symptom of a sickle cell crisis due to vaso-occlusive episodes leading to ischemia and tissue damage.
Correct Answer is B
Explanation
A. Keeping a written document of the treatment plan is essential for ensuring continuity of care and effective communication with healthcare providers.
B. Parents should notify their provider immediately, rather than waiting for the next business day, if their child has a sore throat, as this could indicate a possible infection in an immunocompromised child.
C. Using acetaminophen is generally appropriate for managing pain or fever in children receiving chemotherapy, but it should be done with caution regarding dosage and timing.
D. Maintaining a written list of medical appointments helps keep track of the child’s care and is a good practice for managing their health.
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