A nurse is creating a plan of care for a child who has acute lymphoid leukemia and an absolute neutrophil count of 400/mm³ (2500 to 8000/mm³). Which of the following interventions should the nurse include in the plan?

Encourage friends and family to visit the child.

Provide a low-protein diet for the child.

Collect a daily urine specimen from the child to check for proteinuria.

Withhold administering the varicella vaccine to the child.

Answer and Explanation

The Correct Answer is D

A. Encouraging friends and family to visit the child is not appropriate due to the risk of infections, as the child has a severely compromised immune system.

B. A low-protein diet is not indicated; children with leukemia often require adequate nutrition to support their health.

C. Collecting a daily urine specimen for proteinuria is not specifically indicated for this condition; the focus should be on infection prevention.

D. Withholding the varicella vaccine is essential because live vaccines are contraindicated in immunocompromised patients due to the risk of severe infections.

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Correct Answer is C

Explanation

A. Muscle rigidity is not a typical manifestation of digoxin toxicity; it is more commonly associated with other conditions or medications.

B. Constipation can occur but is not a primary sign of digoxin toxicity.

C. Nausea is a common early sign of digoxin toxicity and should be included in the teaching. Other symptoms may include vomiting, visual disturbances, and confusion.

D. Wheezing is not associated with digoxin toxicity; it may suggest respiratory issues or an allergic reaction.

A. Diarrhea B. Urinary Retention C. Abdominal Bloating D. Purulent Discharge

Correct Answer is C

Explanation

A. Diarrhea is not a typical manifestation of ovarian cancer and may be more related to gastrointestinal issues.

B. Urinary retention can occur but is not a common initial symptom associated with ovarian cancer.

C. Abdominal bloating is a common symptom associated with ovarian cancer and should be included in the educational session. It may occur due to fluid accumulation or tumor growth.

D. Purulent discharge is not a typical manifestation of ovarian cancer and may suggest an infection rather than a cancer diagnosis.

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A nurse is creating a plan of care for a child who has acute lymphoid leukemia and an absolute neutrophil count of 400/mm³ (2500 to 8000/mm³). Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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A nurse is creating a plan of care for a child who has acute lymphoid leukemia and an absolute neutrophil count of 400/mm³ (2500 to 8000/mm³). Which of the following interventions should the nurse include in the plan?