A nurse is planning care for a preschooler who has neutropenia.
Which of the following interventions should the nurse include in the plan?
Administer vaccines prior to discharge.
Obtain the child’s rectal temperature once daily.
Avoid raw fruits and vegetables in the child’s diet.
Bathe the child every other day.
The Correct Answer is C
The correct answer is Choice C.
Choice A rationale
Administering vaccines prior to discharge is not recommended for a child with neutropenia because their immune system is compromised. Vaccines, especially live vaccines, can pose a risk of infection in immunocompromised individuals.
Choice B rationale
Obtaining the child’s rectal temperature once daily is not advisable for a child with neutropenia. Rectal thermometers can cause mucosal injury and increase the risk of infection in neutropenic patients.
Choice C rationale
Avoiding raw fruits and vegetables in the child’s diet is crucial for a child with neutropenia. Raw fruits and vegetables can harbor bacteria and other pathogens that can cause infections in immunocompromised individuals.
Choice D rationale
Bathing the child every other day is not sufficient for maintaining hygiene in a child with neutropenia. Daily bathing is recommended to reduce the risk of infection by removing potential pathogens from the skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale
Increasing fluid intake is not appropriate as it does not address the issue of vomiting and can lead to fluid overload.
Choice B rationale
Giving an antiemetic is not recommended without consulting a healthcare provider as it may interact with digoxin.
Choice C rationale
Administering the next dose as prescribed is the correct action. If a dose is vomited, it should not be repeated, and the next dose should be given at the regular time.
Choice D rationale
Mixing the medication with 8 oz of formula is not recommended as it can affect the absorption and effectiveness of the medication.
Correct Answer is D
Explanation
Choice A rationale: Preparing the child for flexible endoscopy is a necessary step to remove the foreign object from the esophagus. However, before any procedure can be performed, it is essential to obtain informed consent from the parents. This ensures that the parents are aware of the risks, benefits, and alternatives to the procedure and have given their permission for it to be carried out.
Choice B rationale: Encouraging the parents to inspect toys for easily removable parts is an important preventive measure to avoid future incidents. However, this is not the immediate priority in this emergency situation. The primary focus should be on addressing the current issue, which involves obtaining informed consent for the necessary procedure.
Choice C rationale: Monitoring the child closely for the return of the gag reflex is important to ensure the child’s safety, especially after the procedure. However, this step is relevant after the endoscopy has been performed. The immediate priority is to obtain informed consent to proceed with the endoscopy.
Choice D rationale: Obtaining informed consent is the first priority in this scenario. Before any medical procedure can be performed, it is crucial to ensure that the parents are fully informed about the procedure, its risks, benefits, and alternatives, and have given their permission. This step is essential to respect the parents’ rights and to proceed with the necessary medical intervention safely and legally.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.