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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

A.

Encouraging frequent, thorough handwashing

B.

Having the child sleep in a single bed and room.

C.

Encouraging frequent close contact with visitors.

D.

Cheering up the environment with fresh flowers and plants.

E.

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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Related Questions

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Avoiding bubble baths is important as they can irritate the urethra and exacerbate UTIs.

B. Wiping the perineal area from front to back is essential to prevent bacteria from the rectal area from entering the urinary tract.

C. Completing the course of prescribed antibiotics is crucial to fully eradicate the infection and prevent recurrence.

D. Encouraging frequent voiding helps to flush out bacteria from the urinary tract and prevent infection.

E. Wearing cotton underwear helps keep the area dry and reduce the risk of bacterial growth.

F. Encouraging frequent fluid intake aids in hydration and helps dilute the urine, reducing irritation and promoting flushing of bacteria.

Correct Answer is C

Explanation

A. Administering Benadryl may help with allergic reactions but is not the immediate priority when the patient is showing signs of severe hypotension and respiratory distress.

B. Applying ice to the site may help with local swelling but does not address the systemic reaction the child is experiencing.

C. Giving epinephrine is the priority action as it counteracts the anaphylactic reaction, improves blood pressure, and alleviates respiratory distress.

D. Determining if the sting is in situ is less critical than addressing the child's life-threatening symptoms.

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