Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? Select all that apply.

Reduce exposure to environmental organisms.

Maintain the child in a semiprivate room.

Use strict aseptic technique for all procedures.

Ensure that anyone entering the child's room wears a mask

Apply firm pressure to a needlestick area for at least 10 minutes

Answer and Explanation

Correct Answer : A,C,D

A.Reduce exposure to environmental organisms.
Explanation: Minimizing the child's exposure to environmental organisms helps reduce the risk of infections. This includes practices such as maintaining a clean environment and promoting good hygiene.
B. Maintain the child in a semiprivate room.
Explanation: The type of room (semiprivate or private) may not be directly related to infection control. However, maintaining a clean and controlled environment is important.
C.Use strict aseptic technique for all procedures.
Explanation: Strict aseptic technique is crucial to prevent the introduction of pathogens during procedures. This involves maintaining a sterile field and using appropriate infection control measures during medical interventions.
D.Ensure that anyone entering the child's room wears a mask.
Explanation: Wearing a mask helps prevent the spread of respiratory infections, which can be particularly risky for immunocompromised children. It is a measure to protect the child from potential airborne pathogens.
E. Apply firm pressure to a needlestick area for at least 10 minutes.
Explanation: Applying firm pressure to a needlestick area is relevant in the context of preventing bleeding or hematoma formation but is not directly related to infection control.

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Correct Answer is B

Explanation

A. "I am unable to discuss this, but I can contact my supervisor to speak with you."
Explanation: While it is appropriate to involve a supervisor in difficult situations, the nurse should first clarify the legal obligation to report suspected child abuse. This response may leave the impression that the nurse is avoiding the question.
B. "As a nurse, I am required by law to report suspected child abuse."
Explanation:
Nurses are mandated reporters, meaning they are legally obligated to report suspected child abuse. It is important to communicate this legal obligation to the parents when they inquire about the reason for the report. This response is honest, direct, and reinforces the nurse's ethical and legal responsibility to prioritize the well-being and safety of the child.
C. "I reported the incident to my supervisor who decided to contact the authorities."
Explanation: This response may create confusion about the reporting process. It is important to convey that reporting is a legal obligation for the nurse, and it is not solely at the discretion of the supervisor.
D. "The provider will be coming to explain the situation."
Explanation: While involving other healthcare professionals, such as a provider, may be part of the process, it is crucial to emphasize the nurse's legal responsibility to report suspected child abuse. This response does not clearly communicate the legal obligation that the nurse has in reporting such incidents.

Correct Answer is ["5.3"]

Explanation

To calculate the dose of acetaminophen, you can use the following formula:

Dose (in mg)= Weight (in kg) × Dose (mg/kg)

First, convert the weight from pounds to kilograms:

Weight (in kg)= Weight (in lb)/ 2.2

Weight (in kg)=28 lb/ 2.2 ≈ 12.73kg

Now, calculate the dose:

Dose (in mg) =12.73 kg × 10 mg/kg ≈ 127.3 mg

Next, determine how many milliliters (mL) of the available acetaminophen solution (120 mg/5 mL) contain the calculated dose:

Volume (in mL)=Dose (in mg)/Concentration (in mg/mL)

Volume (in mL) =127.3 mg/( 120 mg/5 mL)

Volume (in mL)≈127.3 mg / 24 mg/mL ≈ 5.304 mL

Therefore, the nurse should administer approximately 5.3 mL of acetaminophen.

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Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

A nurse is preparing to administer acetaminophen 10 mg/kg/dose to a child who weighs 28 lb. The amount available is acetaminophen 120 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["5.3"]

Explanation

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