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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. Encouraging handwashing is important to prevent spreading infection and shows understanding of hygiene practices.

B. Advising the child not to touch their face is important to prevent secondary infections and spread of the rash.

C. Providing a separate towel helps prevent the spread of infection, demonstrating good understanding of precautions.

D. Filling a prescription for antiviral ointment is inappropriate in this case; the honey-crusted plaques suggest impetigo, which is typically treated with topical or oral antibiotics, not antiviral ointment.

A. Administer antibiotics. B. Obtain weight weekly C. Encourage increased fluid intake D. Encourage frequent ambulation

Correct Answer is B

Explanation

A. Antibiotics are not routinely indicated for acute glomerulonephritis unless there is an underlying infection; the condition is often related to an immune response.

B. Monitoring weight is crucial in acute glomerulonephritis to assess for fluid retention and manage edema effectively.

C. Fluid intake may need to be restricted to manage hypertension and edema, so encouraging increased intake is not appropriate.

D. While ambulation is important for general health, it is not a primary intervention for managing acute glomerulonephritis.

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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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