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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 C

Explanation

A. Ibuprofen can be used for fever, but it is important to check if the child has varicella before administering due to potential Reye's syndrome.

B. The child should stay home until all lesions have crusted over to prevent spreading the virus, even if the fever is gone.

C. Once lesions have crusted, the child is no longer contagious, indicating understanding of the contagious period.

D. Using cool or tepid water is acceptable for soothing itching; however, it does not specifically address the need for proper care during the contagious phase.

A. Respiratory B. Airborne C. Bleeding D. Contact

Correct Answer is C

Explanation

A. Respiratory precautions are necessary for preventing the spread of respiratory infections but are not specifically indicated here.

B. Airborne precautions are required for diseases transmitted through the air (e.g., TB), not relevant in this scenario.

C. Bleeding precautions should be initiated due to the critically low platelet count, as this increases the risk of bleeding complications. Nurses should be vigilant in monitoring for signs of bleeding and minimizing invasive procedures.

D. Contact precautions are important for preventing the spread of infections, but in this case, the primary concern is bleeding due to low platelet counts.

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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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