The nurse identifies the nursing diagnosis of risk for infection related to chemotherapy-induced immunosuppression. What would the nurse include in the teaching plan for the child and parents about reducing the child's risk?
Encourage frequent visitors
Encourage the child to brush his teeth regularly
Provide a low-carbohydrate, low-protein diet
Provide fresh fruits and flowers to boost the child's mood
The Correct Answer is B
A. Frequent visitors increase the risk of exposure to infectious agents. Children with immunosuppression should have limited exposure to people with illnesses, and visitors should practice hand hygiene and avoid visiting if sick.
B. Maintaining oral hygiene is crucial because the mouth is a common site for infections, including bacterial and fungal infections. Chemotherapy can cause mucositis, gingivitis, and oral ulcers, which increase the risk of systemic infection. Using a soft-bristled toothbrush and gentle technique reduces trauma while maintaining cleanliness.
C. Children undergoing chemotherapy require adequate protein and calories to support growth, healing, and immune function. Restricting carbohydrates and protein would be detrimental and does not reduce infection risk.
D. Fresh fruits and flowers may harbor bacteria and fungi that can cause infections in immunocompromised children. While mood support is important, safe alternatives include sterile or washed fruits, packaged snacks, or other forms of entertainment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1618"]
Explanation
Step 1: Convert pounds to kilograms
1 kg = 2.2 lb
57 lb ÷ 2.2 = 25.9 kg
Step 2: Use the Holliday-Segar method
- First 10 kg → 100 mL/kg = 10 × 100 = 1000 mL
- Next 10 kg → 50 mL/kg = 10 × 50 = 500 mL
- Remaining weight: 25.9 – 20 = 5.9 kg
→ 5.9 × 20 mL = 118 mL
Step 3: Total daily fluid requirement
1000 + 500 + 118 = 1618 mL/day
Final Answer: 1618 mL
Correct Answer is ["1650"]
Explanation
Step 1: Add segmented + bands
30% + 25% = 55%
Step 2: Convert percentage to decimal
55% = 0.55
Step 3: Calculate ANC
ANC = WBC × (% neutrophils + % bands)
ANC = 3,000 × 0.55 = 1650
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