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. Provide education to the community about the manifestations of tuberculosis

While community education is important for awareness, it may not be the most immediate action needed to prevent the spread of tuberculosis. Reporting the case to the public health department allows for targeted interventions, including contact tracing and testing, which are more specific to controlling the spread of the disease.

B. Report the active case to the public health department.

Reporting the active case to the public health department is crucial for initiating appropriate public health measures, such as contact tracing and ensuring that individuals who may have been exposed to tuberculosis receive testing and, if necessary, treatment. This helps in preventing the further spread of the disease within the community.

C. Ensure client adherence to the medication regimen:

Ensuring client adherence to the medication regimen is essential for the individual's treatment but may not directly address the prevention of tuberculosis spread within the community. This action focuses on the individual's care rather than the broader public health perspective.

D. Perform tuberculosis screenings throughout the community:

While community screenings are valuable for early detection, initiating screenings for the entire community may not be the immediate and most efficient response. It's more targeted and effective to identify and test individuals who may have been in close contact with the known active case, as determined through reporting to the public health department.

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.