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

Answer and Explanation

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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Correct Answer is C

Explanation

A. An inguinal hernia occurs when digestive fluids leak from the bowel, causing swelling that results in a bulge in the groin is incorrect. An inguinal hernia involves a protrusion of bowel or fatty tissue through a weakness in the abdominal wall, not digestive fluids leaking from the bowel.

B. An inguinal hernia occurs when a viral infection weakens the intestine, allowing the bowel to herniate into the groin is incorrect. Inguinal hernias are congenital or result from increased intra-abdominal pressure, not caused by viral infections.

C. An inguinal hernia occurs when a part of the bowel or fatty tissue slips through a weak spot in the abdominal cavity near the groin is correct. Inguinal hernias occur when tissue, usually part of the intestine or fatty tissue, pushes through a weak area in the abdominal wall near the groin. This condition is common in infants and children.

D. An inguinal hernia occurs when an accumulation of excess gas in the abdominal cavity results in a bulge in the groin is incorrect. While excess gas can cause bloating or discomfort, it is not responsible for the development of an inguinal hernia. The bulge is caused by the protrusion of tissue through a weakness in the abdominal wall.

A. Ribs B. Upper leg C. Head D. Spine

Correct Answer is B

Explanation

A. Ribs are not a typical location for rhabdomyosarcoma, which primarily affects soft tissue. While it can occur in any area of the body, tumors most commonly develop in the muscles, such as in the upper leg.

B. Upper leg is the most common site of rhabdomyosarcoma in children. This cancer originates in the soft tissues, particularly skeletal muscles.

C. Head is a less common site for rhabdomyosarcoma, although it can occur in the head or neck region. However, the upper leg is more frequently affected.

D. Spine is not a typical location for rhabdomyosarcoma. While other sarcomas can affect bones and tissues of the spine, rhabdomyosarcoma generally affects soft tissues like muscles and tendons.

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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)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 4-year-old pediatric client who has an inguinal hernia. Which of the following statements should the nurse make when the parents ask for clarification about the inguinal hernia?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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