A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which following statement by the guardian indicates an understanding of the teaching?
"I should take my child's rectal temperature daily."
"I'm sure my child will feel beter now that he can ride his bicycle."
"I should inspect my child's mouth for sores once a week."
"I will make sure my child gets a measles, mumps, and rubella vaccine this week."
The Correct Answer is C
Children with leukemia are at increased risk for infection and other complications due to their weakened immune system. One potential complication is oral mucositis, which can cause painful sores in the mouth and throat. Inspecting the child's mouth for sores once a week is a preventive measure that can help identify this complication early and allow for prompt treatment.
Taking the child's rectal temperature daily (A) is not a necessary preventive measure for a child with leukemia unless directed by the healthcare provider.
Riding a bicycle (B) can be a healthy activity for a child with leukemia but it does not prevent complications.
Getting a measles, mumps, and rubella vaccine (D) is important for preventing these specific infectious diseases but it is not directly related to preventing complications in a child with leukemia. The vaccine may also not be recommended for a child with leukemia, depending on their treatment plan and medical history.
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Related Questions
Correct Answer is B
Explanation
Referring clients to the appropriate community agency if signs of abuse are evident is an example of secondary prevention. Secondary prevention aims to detect and treat a disease or condition early on to prevent it from progressing. In this case, referring clients to an agency that can provide support and resources for individuals experiencing abuse can prevent the abuse from escalating or becoming more severe.
Option Ais an example of tertiary prevention, which aims to minimize the impact of an already established disease or condition by maximizing function and preventing complications.
Option Cis an example of primary prevention and health promotion, which aims to improve overall health and well-being.
Option Dis an example of primary prevention, which aims to prevent a disease or condition from occurring in the first place.
Correct Answer is A
Explanation
The nurse's response demonstrates respect for the client's autonomy, which is the principle of respecting the client's right to make decisions about their own healthcare. The nurse acknowledges the client's right to make a decision and offers support for whatever decision the client makes. Beneficence is the principle of doing good for the client, while nonmaleficence is the principle of avoiding harm. Veracity is the principle of telling the truth to the client, which is not necessarily demonstrated in this scenario.
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