A nurse is planning care for a preschooler who has neutropenia. Which of the following interventions should the nurse include in the plan?
Avoid raw fruits and vegetables in the child's diet.
Administer vaccines prior to discharge.
Obtain the child's rectal temperature once daily.
Bathe the child every other day.
The Correct Answer is A
Choice A reason: Avoiding raw fruits and vegetables is crucial for a child with neutropenia because these foods can harbor bacteria that may cause infection in a child with a weakened immune system. It is important to minimize the risk of infection by providing a diet that includes cooked or thoroughly washed fruits and vegetables.
Choice B reason: Administering vaccines prior to discharge may not be appropriate for a child with neutropenia, as live vaccines are contraindicated due to the risk of infection. Vaccination should be deferred until the child's immune system has recovered.
Choice C reason: Obtaining the child's rectal temperature once daily is not recommended for a child with neutropenia due to the risk of introducing bacteria into the body, which can lead to infection.
Choice D reason: Bathing the child every other day does not directly relate to the care of neutropenia. While personal hygiene is important, the frequency of bathing should be based on the child's needs and condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A reason: Loosening tight clothing around the child's neck is important to ensure that the child can breathe easily and to prevent any additional discomfort or injury during the seizure.
Choice B reason: It is not recommended to firmly hold the child's arms to one side as this can cause injury. Instead, the nurse should ensure the child's safety by clearing the area of any hard or sharp objects.
Choice C reason: Placing a pillow under the child's head can help to protect the head from injury during the seizure. It provides a soft cushion to prevent the child from hitting their head on hard surfaces.
Choice D reason: Inserting a tongue blade into the child's mouth is not advised as it can cause injury to the child's mouth or teeth, and there is a risk of the child biting down and breaking the blade.
Choice E reason: Clearing the area of hard objects is crucial to prevent injury to the child during the seizure. Removing any potential hazards ensures a safer environment for the child to move without harm.
Correct Answer is C
Explanation
Choice A reason: Applying lotion to the skin under the straps is not recommended as it can interfere with the harness's grip and may lead to slippage or improper positioning.
Choice B reason: Expecting the baby to wear the harness for only 2 weeks may be incorrect as the duration of use is typically determined by the physician based on the infant's progress and may extend beyond 2 weeks.
Choice C reason: Placing the diaper under the straps is correct as it allows for easy diaper changes without removing the harness and ensures that the harness remains in the proper position.
Choice D reason: Adjusting the straps daily is not advised unless instructed by a healthcare professional. Improper adjustments can affect the effectiveness of the harness and the treatment of developmental dysplasia of the hip.
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