The nurse is reviewing appropriate nutritional options for a child who is receiving chemotherapy and has been prescribed a neutropenic diet. The nurse would recommend which of the following options

Bagel with cream cheese and lox

Vanilla milkshake made with pasteurized milk

Ham and cheese sandwich

Sushi

Answer and Explanation

The Correct Answer is B

A. Bagels with cream cheese and lox are not recommended as lox may carry a risk of contamination.

B. A vanilla milkshake made with pasteurized milk is safe for a neutropenic diet as pasteurization kills harmful bacteria.

C. Ham and cheese sandwiches may not be safe unless the ham is fully cooked, as deli meats can harbor bacteria.

D. Sushi is not appropriate for a neutropenic diet due to the risk of raw fish and potential bacteria.

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Correct Answer is A

Explanation

A. Weighing the child daily on the same scale is critical for monitoring fluid retention and managing edema, which are primary concerns in nephrotic syndrome.

B. Testing urine for glucose levels is not a routine part of nephrotic syndrome management, as glucose levels are not typically affected by this condition.

C. Increasing fluid intake is not advisable in nephrotic syndrome if there is significant edema; fluid management must be tailored to the child's condition.

D. While ambulation is beneficial, it is not as critical as daily weight monitoring in managing nephrotic syndrome.

A. I will keep a written document of the treatment plan B. I will notify my provider on the next business day if my child has a sore throat C. I will use acetominophen if my child needs an analgesic for pain D. I will keep a written list of all my child's medical appointments

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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The nurse is reviewing appropriate nutritional options for a child who is receiving chemotherapy and has been prescribed a neutropenic diet. The nurse would recommend which of the following options

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Naxlex Comprehensive Predictor Exams

In caring for a child with nephrotic syndrome, which intervention will be most important to be included in the child's plan of care?

Correct Answer is A

Explanation

A nurse is reviewing the discharge plan with the family of an 8 year child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?

Correct Answer is B

Explanation

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