A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. Which of the following actions should the nurse plan to take?

A. "I will make sure my child gets a measles, mumps, and rubella vaccine this week."

Children with leukemia often have compromised immune systems, and live vaccines like measles, mumps, and rubella are generally contraindicated. Inactivated vaccines are usually recommended.

B. "I should take my child's rectal temperature daily."

While monitoring for fever is crucial in a child with leukemia due to the risk of infection, a rectal temperature is not typically necessary. Oral or tympanic temperature measurements are more commonly used.

C. "I should inspect my child's mouth for sores."

Children with leukemia are at increased risk of developing oral sores, infections, and complications. Regular inspection of the mouth allows for early detection of any issues, promoting timely intervention and prevention of complications.

D. "I'm sure my child will feel better now that he can ride his bicycle."

Physical activity and play are essential for a child's well-being, but this statement does not address the specific complications associated with leukemia or preventive measures for those complications. Regular medical monitoring and adherence to preventive measures are crucial.

A. Herpes simplex virus.

Explanation: While Herpes simplex virus (HSV) is a common viral infection, reporting requirements may vary. In many regions, it is not necessarily a reportable infection to the health department.

B. Human papillomavirus (HPV).

Explanation: Similar to HSV, reporting requirements for Human papillomavirus (HPV) may vary. In many cases, HPV is not a reportable infection to the health department.

C. Chlamydia.

Explanation: Chlamydia is a sexually transmitted infection (STI) that is reportable to public health authorities. Reporting cases of Chlamydia to the state health department is important for monitoring and controlling the spread of the infection. This helps in implementing public health interventions and preventive measures.

D. Group B streptococcus β-hemolytic.

Explanation: Group B streptococcus (GBS) is commonly associated with infections in newborns. Reporting requirements for GBS infections may also vary, but in many cases, GBS infections in adults are not routinely reportable to the health department. However, GBS screening during pregnancy and reporting of positive results for preventive measures in newborns might be in place.