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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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Switching to a different formula may not address the underlying issue and could lead to further complications.

B. Bringing the baby to the clinic is essential as projectile vomiting in an infant can indicate a serious condition such as pyloric stenosis that requires evaluation and intervention.

C. Giving oral rehydration solutions is not appropriate before assessing the infant's condition, especially if there’s a possibility of a serious underlying issue.

D. While burping is generally recommended, it is not the solution to the problem of projectile vomiting and does not address the need for urgent assessment.

A. Passing of flatus every 30 min B. Absent bowel sounds C. Abdominal girth 1 cm larger than yesterday D. Report of pain at the operative site

Correct Answer is B

Explanation

A. Passing flatus every 30 minutes indicates bowel activity and suggests that the child may be able to resume oral intake.

B. Absent bowel sounds indicate a lack of gastrointestinal function, which supports the continuation of NPO status until bowel function returns.

C. An increase in abdominal girth, even by 1 cm, can be concerning postoperatively and may indicate fluid retention or other issues, warranting further assessment.

D. Pain at the operative site is expected post-surgery, but it does not directly relate to the child’s ability to resume oral intake.

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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

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Naxlex Comprehensive Predictor Exams

A parent calls a clinic and reports to a nurse that his 2-month-old infant is hungry more than usual but is having projectile vomiting immediately after eating Which of the following responses should the nurse make?

Correct Answer is B

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Correct Answer is B

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