A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child?

A child who has nephrotic syndrome

A child recovering from a ruptured appendix

A child who has rheumatic fever

A child who has cystic fibrosis

Answer and Explanation

The Correct Answer is A

Choice A reason: This choice is correct because a child who has nephrotic syndrome is the most appropriate roommate for a child who has leukemia. Nephrotic syndrome is a kidney disorder that causes proteinuria, edema, hypoalbuminemia, and hyperlipidemia. It does not pose any risk of infection or injury to the child who has leukemia, and it does not require any isolation or special precautions. Therefore, placing these two children in the same room can help to conserve resources and promote socialization.

Choice B reason: This choice is incorrect because a child recovering from a ruptured appendix is not an appropriate roommate for a child who has leukemia. A ruptured appendix is a medical emergency that occurs when the appendix becomes inﬂamed and bursts, releasing bacteria and pus into the abdominal cavity. It may cause peritonitis, sepsis, or abscess formation, and it requires surgery and antibiotics. It may pose a risk of infection to a child who has leukemia, who has a weakened immune system due to chemotherapy or bone marrow suppression. Therefore, placing these two children in the same room can increase the chance of cross-contamination and complications.

Choice C reason: This choice is incorrect because a child who has rheumatic fever is not an appropriate roommate for a child who has leukemia. Rheumatic fever is an inﬂammatory disease that occurs as a complication of streptococcal infection, such as strep throat or scarlet fever. It may affect the heart, joints, skin, or nervous system, and it requires anti-inﬂammatory and antibiotic medications. It may pose a risk of infection to the child who has leukemia, who has a compromised immune system due to cancer or treatment. Therefore, placing these two children in the same room can increase the likelihood of transmission and infection.

Choice D reason: This choice is incorrect because a child who has cystic fibrosis is not an appropriate roommate for a child who has leukemia. Cystic fibrosis is a genetic disorder that aﬀects the mucus glands of the lungs, pancreas, liver, intestines, and reproductive organs. It causes thick and sticky mucus to build up in the organs, leading to chronic lung infections, pancreatic insufficiency, malnutrition, and infertility. It requires respiratory therapy, enzyme supplements, nutritional support, and antibiotics. It may pose a risk of infection to the child who has leukemia, who has a reduced ability to fight germs due to malignancy or therapy. Therefore, placing these two children in the same room can increase the possibility of exposure and infection.

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Correct Answer is D

Explanation

Choice A: This prescription does not need clarification, as medicating the client for pain every 4 hours as needed is appropriate for a child who has suspected appendicitis. Appendicitis is a condition that causes inﬂammation and infection of the appendix, which is a small pouch attached to the large intestine. Appendicitis can cause severe abdominal pain, nausea, vomiting, fever, or loss of appetite. Pain medication can help relieve the discomfort and reduce inﬂammation.

Choice B: This prescription does not need clarification, as maintaining NPO status is appropriate for a child who has suspected appendicitis. NPO status means nothing by mouth, which means no food or ﬂuids are given to the client. NPO status can prevent further irritation of the appendix and prepare the client for possible surgery.

Choice C: This prescription does not need clarification, as monitoring oral temperature every 4 hours is appropriate for a child who has suspected appendicitis. Oral temperature is a measure of body temperature taken by placing a thermometer under the tongue. Oral temperature can indicate infection or inﬂammation in the body. Monitoring oral temperature every 4 hours can help detect changes in the client's condition and guide treatment.

Choice D: This prescription needs clarification, as administering an enema is not appropriate for a child who has suspected appendicitis. An enema is a procedure that involves inserting a tube into the rectum and injecting ﬂuid into the colon to stimulate bowel movement. An enema can cause perforation or rupture of the appendix, which can lead to peritonitis, which is inﬂammation of the peritoneum, which is the membrane that lines the abdominal cavity. An enema can also increase the risk of bleeding or infection.

A. Decreased heart rate B. Decreased respiratory rate C. Increased formula consumption D. Increased crying episodes

Correct Answer is D

Explanation

Choice A: A decreased heart rate is not a sign of pain in an infant, as pain usually causes an increased heart rate due to sympathetic nervous system activation. A decreased heart rate may indicate other problems, such as hypothermia, hypoxia, or bradycardia.

Choice B: A decreased respiratory rate is not a sign of pain in an infant, as pain usually causes an increased respiratory rate due to sympathetic nervous system activation. A decreased respiratory rate may indicate other problems, such as hypothermia, hypoxia, or respiratory depression.

Choice C: An increased formula consumption is not a sign of pain in an infant, as pain usually causes a decreased appetite and oral intake due to discomfort and distress. An increased formula consumption may indicate other factors, such as growth spurt, hunger, or thirst.

Choice D: An increased crying episode is a sign of pain in an infant, as crying is one of the most common and reliable indicators of pain in infants who cannot verbalize their feelings. An increased crying episode may also be accompanied by other signs of pain, such as facial grimacing, body tensing, or inconsolability.

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A nurse is admitting a child who has leukemia. Which of the following clients should the nurse place in the same room with this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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