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
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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Related Questions
Correct Answer is D
Explanation
A. Brachial artery:
Incorrect: The brachial artery is commonly used for measuring blood pressure in infants but not for assessing heart rate.
B. Radial artery:
Incorrect: The radial artery is not typically used for assessing an infant's heart rate, especially in the clinical setting.
C. Carotid artery:
Incorrect: The carotid artery is not commonly used for assessing an infant's heart rate. It is more commonly used in adults, but in infants, the apex of the heart is the preferred site.
D. Apex of the heart.
Correct Answer: The apex of the heart is the most accurate site for counting an infant's heart rate. It is located at the point of maximum impulse (PMI), which is usually at the fifth intercostal space in the mid-clavicular line.
Correct Answer is D
Explanation
A. Diarrhea
Explanation: Diarrhea is not a typical sign of Hirschsprung's disease. Instead, the condition is associated with constipation due to the obstructed passage of stool.
B. Regurgitation of feedings
Explanation: Regurgitation of feedings is not a characteristic sign of Hirschsprung's disease. It may be seen in other gastrointestinal conditions, but not specifically in this disorder.
C. Projectile vomiting
Explanation: Projectile vomiting is not a typical sign of Hirschsprung's disease. It may be associated with conditions such as pyloric stenosis, but it is not a characteristic feature of Hirschsprung's disease.
D. Foul-smelling ribbon-like stools
Explanation:
Hirschsprung's disease is a congenital condition characterized by the absence of ganglion cells in the rectum and a portion of the colon. The lack of ganglion cells results in functional obstruction, causing stool to accumulate in the affected area. One of the hallmark signs is the presence of foul-smelling, ribbon-like stools, often described as "fecal pellets" or "pellets" due to the obstructed passage of stool.
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