A nurse is admitting a child who has a total WBC count of 1200.
Which of the following clients should the nurse place in the same room with this child?
A child who has rheumatic fever.
A child recovering from a ruptured appendix.
A child who has cystic fibrosis.
A child who has nephrotic syndrome.
The Correct Answer is D
Choice A rationale
A child with rheumatic fever could carry infectious agents that might pose a risk to a child with severe immunocompromise such as low WBC.
Choice B rationale
A child recovering from a ruptured appendix might have residual infection or be at higher risk of infection, which could be dangerous for a child with very low WBC count.
Choice C rationale
A child with cystic fibrosis has a risk of respiratory infections, posing a threat to a child with a compromised immune system like severe neutropenia.
Choice D rationale
A child with nephrotic syndrome does not typically carry infectious risks and would be a safer roommate for a child with a compromised immune system due to low WBC count.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Restricting activities that could result in bleeding is important for patients with thrombocytopenia, which is different from neutropenia; neutropenic precautions focus on infection prevention.
Choice B rationale
Restricting all visitors might be overly restrictive; instead, visitors should be screened for infections, and hand hygiene should be emphasized to prevent infection transmission.
Choice C rationale
Fresh flowers and potted plants can harbor bacteria and fungi that pose an infection risk to immunocompromised clients, such as those with neutropenia, making this restriction important.
Choice D rationale
Restricting oral fluid intake to between meals only is not necessary for managing neutropenia; maintaining good hydration is important, and there are no specific fluid timing restrictions.
Correct Answer is []
Explanation
Rationale for correct condition: Mucositis is a common side effect of chemotherapy that causes inflammation and soreness in the mouth. The client reports mouth soreness and dry mucous membranes, consistent with mucositis. The presence of mild erythema on the oral mucosa also supports this diagnosis. Chemotherapy drugs such as vincristine and anthracycline are known to cause mucositis. Addressing mucositis early is crucial for maintaining the client’s nutrition and hydration.
Rationale for actions: Providing a soft sponge toothbrush helps maintain oral hygiene without causing further irritation. Maintaining the client’s diet ensures adequate nutrition, which is essential for healing mucositis. Pad the siderails of the bed is unnecessary in this scenario, as there's no indication of seizure risk. Requesting an antiemetic is irrelevant since the client has no significant nausea or vomiting.
Rationale for parameters: Monitoring weight loss helps assess the client’s nutritional status and the effectiveness of dietary interventions. Tracking intake and output ensures the client is adequately hydrated and that oral intake is sufficient. Edema monitoring is unnecessary, as there's no sign of fluid retention. Steatorrhea is not relevant in this context, as there's no indication of fat malabsorption.
Rationale for incorrect conditions: Diarrhea is not indicated as the client’s primary complaint is mouth soreness, not gastrointestinal upset. Angioedema is characterized by swelling and is not observed in the client. Seizures are not relevant here, as the client shows no neurological signs suggestive of seizure activity.
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