A nurse is reinforcing teaching with the guardians of a preschooler who has leukemia. The nurse should identify that which of the following educational topics is the priority to include?
Promoting nutrition
Preventing infections
Supporting psychological wellness
Managing mucosal ulcerations
The Correct Answer is B
A. Promoting nutrition: While nutrition is important, preventing infections is more urgent in a preschooler with leukemia. Leukemia and its treatments, such as chemotherapy, can significantly weaken the immune system, making the child more susceptible to infections.
B. Preventing infections: Preventing infections is critical for children with leukemia because their immune systems are compromised, either by the disease itself or by treatments like chemotherapy. Educating the guardians on how to prevent infections (e.g., hand hygiene, avoiding crowds, keeping the environment clean) is crucial to avoid serious complications.
C. Supporting psychological wellness: While psychological support is important, the priority for a preschooler with leukemia is to focus on preventing infections and ensuring their physical well-being, as infections can lead to severe consequences.
D. Managing mucosal ulcerations: Mucosal ulcerations can be a concern for children undergoing cancer treatment, but preventing infections is a more immediate and potentially life-saving priority. Once infections are controlled, mucosal ulcerations can also be addressed.
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Related Questions
Correct Answer is D
Explanation
A. Collect a stool specimen for occult blood: A stool specimen for occult blood is typically used to check for hidden blood in the stool, which might suggest conditions like gastrointestinal bleeding or certain infections. It is not the primary test for diagnosing C. difficile infection.
B. Draw a blood culture: Blood cultures are used to identify bacteria or other pathogens in the blood, but they are not appropriate for diagnosing Clostridium difficile infection, which primarily affects the gastrointestinal system.
C. Conduct a tape test: A tape test is used for diagnosing pinworm infections, not for Clostridium difficile. It involves placing a piece of tape on the child's anal area to collect eggs for examination under a microscope. It is not relevant to the suspicion of C. difficile.
D. Obtain a stool specimen for culture: The most appropriate action is to collect a stool specimen for culture to identify C. difficile. The diagnosis of C. difficile infection is typically confirmed by stool testing, which may include testing for toxins produced by the bacteria.
Correct Answer is C
Explanation
A. “I’m guessing your other parent did not do anything to stop this from happening.”
This statement makes assumptions about the other parent's actions and could lead to further conflict or discomfort for the adolescent. It’s important to avoid making judgments and focus on providing support.
B. “Your parent was wrong to hit you for coming home late.” This statement may come across as judgmental or accusatory, which could hinder communication and trust with the adolescent. It's important to validate their feelings first and address the situation appropriately.
C. “It is not your fault that this happened to you.” This response is empathetic and supportive. It reassures the adolescent, which is an important step in helping them feel safe and understood. It also provides an opportunity for further discussion about their safety.
D. “I won’t tell anyone else about this unless you say it’s okay.” While privacy is important, this could be misleading. In cases of abuse, the nurse is required to report the situation to protect the adolescent, even if they don't consent.
Complete the following sentence by using the lists of options.
The nurse should recommend to