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The nurse is caring for a child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression. Which of the following SHOULD NOT be included in the teaching plan for the child and parents about reducing the child's risk for infection? Select all that apply

Encouraging frequent, thorough handwashing

Having the child sleep in a single bed and room.

Encouraging frequent close contact with visitors.

Cheering up the environment with fresh flowers and plants.

Protecting the central venous access device from non-sterile access

Answer and Explanation

Correct Answer : C,D

A. Frequent, thorough handwashing is essential to prevent infection, especially for immunocompromised children.

B. Having the child sleep in a separate bed and room may help minimize exposure to pathogens from family members.

C. Encouraging frequent close contact with visitors increases the risk of infections and should be avoided.

D. Fresh flowers and plants can harbor bacteria and should be avoided in the environment of an immunocompromised child.

E. Protecting the central venous access device is vital to prevent infections; this practice should be emphasized.

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Correct Answer is D

Explanation

A. Back pain may occur but is not typically urgent unless severe; it’s important to monitor but not the priority.

B. Frequent nosebleeds can occur due to dry mucous membranes but are not the most critical symptom to report immediately.

C. Itching of the skin can be managed with moisturizers and does not represent a medical emergency.

D. Feelings of isolation and depression are serious side effects associated with isotretinoin and should be reported immediately due to the risk of self-harm or suicidal thoughts.

A. Administer at mealtimes B. Give with a 240 mL (8 oz) glass of milk. C. Administer at bed time D. Give with orange juice

Correct Answer is D

Explanation

A. Administering iron supplements at mealtimes can decrease absorption, making it less effective.

B. Giving ferrous sulfate with milk can inhibit the absorption of iron due to the calcium content.

C. Administering iron at bedtime is not recommended because it can cause gastrointestinal upset and may interfere with sleep.

D. Giving ferrous sulfate with orange juice enhances the absorption of iron due to the vitamin C content, which is beneficial for children with iron deficiency anemia.

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The nurse is caring for a child with leukemia, a central venous access device, and chemotherapy-induced immunosuppression. Which of the following SHOULD NOT be included in the teaching plan for the child and parents about reducing the child's risk for infection? Select all that apply

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