A nurse is reviewing the discharge plan with the family of an 8 year child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?

I will keep a written document of the treatment plan

I will notify my provider on the next business day if my child has a sore throat

I will use acetominophen if my child needs an analgesic for pain

I will keep a written list of all my child's medical appointments

Answer and Explanation

The Correct Answer is B

A. Keeping a written document of the treatment plan is essential for ensuring continuity of care and effective communication with healthcare providers.

B. Parents should notify their provider immediately, rather than waiting for the next business day, if their child has a sore throat, as this could indicate a possible infection in an immunocompromised child.

C. Using acetaminophen is generally appropriate for managing pain or fever in children receiving chemotherapy, but it should be done with caution regarding dosage and timing.

D. Maintaining a written list of medical appointments helps keep track of the child’s care and is a good practice for managing their health.

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Correct Answer is D

Explanation

A. While monitoring temperature can be important, it is not the primary focus post-crisis unless there are specific concerns.

B. Cold compresses can constrict blood vessels and worsen sickling; heat is usually recommended for pain relief in sickle cell crisis.

C. Restricting outdoor play is not necessary; children with sickle cell anemia should be encouraged to engage in regular activities within their limits.

D. Offering fluids frequently helps prevent dehydration, which can trigger a sickle cell crisis, making it an essential part of discharge teaching.

A. I can give my children's spin for fever B. Once the fever has gone away my child can go back to school C. Once some of the lesions are crusted over, the child is not contagious D. I can use cool/tepid water to sponge-bathe my child while the lesions are present

Correct Answer is C

Explanation

A. Ibuprofen can be used for fever, but it is important to check if the child has varicella before administering due to potential Reye's syndrome.

B. The child should stay home until all lesions have crusted over to prevent spreading the virus, even if the fever is gone.

C. Once lesions have crusted, the child is no longer contagious, indicating understanding of the contagious period.

D. Using cool or tepid water is acceptable for soothing itching; however, it does not specifically address the need for proper care during the contagious phase.

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A nurse is reviewing the discharge plan with the family of an 8 year child with acute lymphoblastic leukemia who is receiving chemotherapy through a central venous access device. Which statement by the parent indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A 4 year old child presents with varicella and vesicular rash in various stages of healing. Which statement by the parent indicates understanding of the teaching?

Correct Answer is C

Explanation

A 3 year old child with upper respiratory infection and low-grade fever is being treated with Acetominophen. The nurse is reviewing important anticipatory guidance with the parents which statement by the parents indicates the need for further teaching about this medication?

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