A nurse is admitting an 8-year-old child to the pediatric unit.

Exhibits

For each potential condition, click to specify if the child's assessment findings are consistent with Hodgkin Lymphoma, Bacterial Meningitis, or Acute Lymphoblastic Leukemia (ALL). Each finding may support more than 1 diseases.

A. Airborne precautions are not required for gentamicin administration, as this medication does not pose a risk of airborne transmission. Gentamicin is an antibiotic, and precautions depend on the infection being treated, not the medication itself.

B. Maintaining strict intake and output is essential when administering gentamicin because it can be nephrotoxic. Monitoring fluid balance helps detect early signs of kidney impairment, allowing timely intervention to prevent further damage.

C. Constipation is not a common adverse effect of gentamicin; gastrointestinal symptoms are more often nausea or vomiting. Monitoring bowel function is important but less critical than kidney function with this medication.

D. Encouraging bed rest is not a standard nursing action specifically related to gentamicin administration. Mobility should be maintained as tolerated to prevent complications like thrombosis unless contraindicated by the patient’s condition.

A. "Administer the influenza vaccine every 6 months.": The influenza vaccine is recommended annually, not every 6 months. This timing aligns with the seasonal nature of flu strains and the updated composition of the vaccine each year.

B. "Administer antibacterial medication within 24 hr of the onset of symptoms.": Influenza is a viral infection, so antibacterial (antibiotic) medications are not effective unless a secondary bacterial infection occurs. Antiviral medications, such as oseltamivir, may be used within 48 hours of symptom onset.

C. "Children should be considered infectious for 14 days after the onset of symptoms.": Children are typically infectious from 1 day before symptoms start to about 5–7 days after onset. Younger children and those with weakened immune systems may be infectious a bit longer, but not usually 14 days.

D. "Wear a face mask when working within 3 feet of a child who is infected.": Influenza spreads via droplet transmission, which occurs when an infected person coughs, sneezes, or talks. Wearing a face mask within close proximity (e.g., 3 feet) helps reduce the risk of inhaling infectious droplets.