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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Replacing the water in flower vases daily does not prevent infection for a client with neutropenia, as bacteria can still accumulate.
Choice B rationale
Humidifying the client’s room can increase the risk of mold growth, which is harmful to immunocompromised clients.
Choice C rationale
Serving cooked fruit minimizes the risk of infections from bacteria and fungi present on raw fruits, which is crucial for clients with low WBC counts.
Choice D rationale
Cleaning dentures in a denture cup does not significantly reduce infection risks for immunocompromised clients; proper mouth hygiene is essential but this practice alone is insufficient.
Correct Answer is D
Explanation
Choice A rationale
Diarrhea is not a typical adverse effect of radiation treatment for breast cancer; gastrointestinal symptoms are more common with abdominal or pelvic radiation.
Choice B rationale
Anorexia, or loss of appetite, can occur but is not as common as fatigue for clients undergoing radiation treatment.
Choice C rationale
Alopecia can occur with chemotherapy, but it is less common with radiation therapy unless the radiation is directed at the scalp.
Choice D rationale
Fatigue is a common and expected adverse effect of radiation therapy due to the body's response to treatment and tissue repair processes.
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