A child has been admitted to the pediatric unit. Her absolute neutrophil count is 225 and the child has been placed in neutropenic isolation. Which action by a nurse indicates that the nurse requires further education? (Select all that apply)
The nurse monitors the child's vital signs every 2 to 4 hours
The nurse carefully washes his/her hands before and after providing care
The child has been placed in a semi-private room
The nurse assesses the child for clinical signs of an infection
The Correct Answer is C
A. The nurse monitors the child's vital signs every 2 to 4 hours is appropriate. Regular monitoring of vital signs is important in children with neutropenia to detect early signs of infection or sepsis.
B. The nurse carefully washes his/her hands before and after providing care is appropriate. Hand hygiene is critical in preventing the transmission of infection, especially in neutropenic patients who are at high risk of infections.
C. The child has been placed in a semi-private room requires further education. A child with a neutrophil count of 225 is at significant risk of infection, and placing the child in a semi-private room increases the risk of exposure to pathogens. The child should be placed in a private room to minimize exposure to infectious agents.
D. The nurse assesses the child for clinical signs of an infection is appropriate. Vigilant monitoring for infection is essential in neutropenic patients, as they are more susceptible to infections.
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Related Questions
Correct Answer is C
Explanation
A. 2-3 months is too early for palatoplasty, as the child’s palate and facial structures need time to develop. Surgical repair of the palate is typically done later, once the child is more developed.
B. 18-24 months is too late for the initial palatoplasty. Early intervention is preferred for speech development and other aspects of the child’s overall growth.
C. 6-12 months is the recommended age range for palatoplasty, as this is the time when the child’s palate has matured enough for surgery, and earlier intervention supports optimal outcomes for speech and facial development.
D. 4-5 years is too late for the first palatoplasty. However, additional surgeries or interventions may be needed during this age range as the child grows and their oral structures continue to develop.
Correct Answer is A
Explanation
A. Administer an antiemetic before chemotherapy begins is the most appropriate action. Chemotherapy-induced nausea and vomiting can be anticipated, so administering an antiemetic before treatment helps to prevent these symptoms from occurring. This proactive approach is standard practice to manage chemotherapy side effects.
B. Encourage drinking large amounts of favorite fluids may help with hydration, but it doesn't specifically target nausea or vomiting. It’s better to focus on a strategy to directly prevent these symptoms, such as using antiemetics.
C. Offer frequent small meals before and after chemotherapy may help with general appetite and nutrition, but it doesn't directly address nausea and vomiting from chemotherapy.
D. Provide the child's favorite music as a distraction can be helpful for comfort but does not address the underlying issue of chemotherapy-induced nausea and vomiting.
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