A nurse is reinforcing discharge teaching about preventing infections with the parent of a child who is receiving chemotherapy and has a platelet count of 100,000/mm3. Which of the following statements by the parent indicates an understanding of the teaching?
"I will take my child's rectal temperature daily to ensure the most accurate reading."
"I will make sure my child receives the MMR vaccine by the end of the week."
"I will take my child to the park to ride her new bike."
"I will inspect the inside of my child's mouth for sores every day."
The Correct Answer is D
Rationale:
A) Taking rectal temperatures may increase the risk of infection and is not typically recommended during chemotherapy.
B) Live vaccines such as MMR are generally contraindicated during chemotherapy due to the risk of vaccine-related complications in immunocompromised individuals.
C) Going to the park may expose the child to environmental pathogens and is not recommended during chemotherapy.
D) Inspecting the inside of the child's mouth for sores is important for early detection of oral mucositis, a common side effect of chemotherapy that can increase the risk of infection.
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Related Questions
Correct Answer is D
Explanation
A. Allowing a toddler to button up their own shirt can be frustrating for them as they may not have developed the fine motor skills required for this task, leading to potential distress.
B. Asking toddlers questions that require a "yes" or "no" answer can limit their language development as it does not encourage them to use language expressively.
C. While providing opportunities to share toys with others is important for social development, it is not the most critical aspect of care in this context.
D. Ensuring the toddler has at least one nap during the day is crucial as toddlers need ample sleep for proper development and to prevent overtiredness, which can affect their mood and behavior.
Correct Answer is C
Explanation
Rationale:
A) A tepid bath may cause shivering, which can increase the temperature.
B) Aspirin is contraindicated in children due to the risk of Reye's syndrome.
C) Removing the toddler's extra clothing can help lower the body temperature by allowing heat to escape through the skin.
D) Cooling blankets are typically reserved for severe cases of hyperthermia and may not be appropriate or safe for use in a toddler with a moderately elevated temperature.
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