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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 B

Explanation

A. Raising the head of the bed may help with respiratory effort but does not address the underlying issue of decreased responsiveness. Immediate assessment and intervention are necessary.

B. Notifying the healthcare provider is critical as the child’s decreased responsiveness and respiratory rate indicate a potential deterioration in condition that requires prompt medical evaluation.

C. While obtaining an oximeter reading can provide useful information about oxygenation, the priority is to notify the HCP about the change in the child's neurological status.

D. Implementing seizure precautions is important for a child with a brain tumor, but the immediate concern is the change in responsiveness, necessitating HCP notification first.

A. Removing nits from wet hair with a fine-tooth comb B. Washing all bedding and clothing in hot water (130°F or 54°C), or sealing items that cannot be washed in a plastic bag for 2 weeks. C. Soaking combs and brushes in hot water with the shampoo for at least 15 minutes D. All of the above answers

Correct Answer is D

Explanation

A. Removing nits with a fine-tooth comb is a crucial step in managing head lice to prevent re-infestation.

B. Washing bedding and clothing in hot water or sealing non-washable items helps eliminate lice and nits from the environment.

C. Soaking combs and brushes in hot water with shampoo helps ensure that any lice or nits on the grooming tools are eradicated.

D. All of the provided options are appropriate measures for managing pediculosis capitis effectively.

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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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Naxlex Comprehensive Predictor Exams

A child with a brain tumor has a decreased respiratory hate and is less responsive to verbal commands than he was when the nurses assessed the client the previous hour. What should the nurse do next?

Correct Answer is B

Explanation

The nurse is reviewing management of pediculosis capitis with the parents of school age children during a presentation in addition to medicated shampoo or cream rinse, the treatment for head lice may also include which of the following?

Correct Answer is D

Explanation

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