A nurse is planning care for a child who has neutropenia due to leukemia. Which of the following interventions should the nurse include in the plan of care?
Screen the child's visitors for active infections.
Prepare the child for a platelet transfusion.
Monitor the child for indications of active bleeding.
Initiate a low-protein diet for the child.
The Correct Answer is A
A. Screen the child's visitors for active infections. Neutropenia places the child at high risk for infection due to a severely weakened immune system. Screening visitors for signs of illness is essential to minimize exposure to infectious agents.
B. Prepare the child for a platelet transfusion. Platelet transfusions are used to treat thrombocytopenia, not neutropenia. While leukemia may cause both conditions, neutropenia specifically increases infection risk, not bleeding risk.
C. Monitor the child for indications of active bleeding. While bleeding is a concern in leukemia, it is more directly linked to low platelet levels. The priority intervention for neutropenia is infection prevention, not bleeding control.
D. Initiate a low-protein diet for the child. A low-protein diet is not appropriate for a child with leukemia. These children need adequate protein for healing, immune support, and maintaining strength during treatment.
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Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Potential complications. The provider is responsible for informing the client of possible risks and complications associated with the procedure. This ensures the client understands what to expect and can make an informed decision.
B. Cost of the procedure. While cost is an important consideration, it is not part of the informed consent process that the provider must explain. Financial discussions are typically handled by billing or administrative personnel.
C. Possible alternative treatments. Informed consent includes a discussion of reasonable alternatives so the client can weigh all available options. This allows for autonomous decision-making regarding their care.
D. Explanation of the procedure. The provider must describe the nature and details of the procedure, including what it involves and how it will be performed. This ensures the client understands what they are consenting to.
E. Expected outcome of the procedure. Clients should be informed of the anticipated results and benefits of the surgery. This helps set realistic expectations and supports informed decision-making.
Correct Answer is A
Explanation
A. Beneficence. This principle refers to acting in the best interest of the client by promoting their well-being and providing comfort. Sitting with a grieving client to offer emotional support is an act of kindness and compassion, aligning with beneficence.
B. Autonomy. Autonomy involves respecting the client’s right to make decisions about their own care. While important, it is not the primary ethical principle demonstrated in this situation.
C. Fidelity. Fidelity refers to keeping promises and maintaining trust in the nurse-client relationship. While the nurse is being supportive, the act described does not specifically demonstrate the principle of fidelity.
D. Veracity. Veracity involves telling the truth and being honest with clients. It is not the relevant principle in this context, as the focus is on emotional support rather than the communication of factual information.
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