The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which side effect of chemotherapeutic medications?

Elevated white blood count (WBC).

Bone marrow suppression.

T-cell mediated hypersensitivity.

Stomatitis.

Answer and Explanation

The Correct Answer is B

Choice A reason: An elevated white blood count (WBC) is not typically a side effect of chemotherapy; in fact, chemotherapy often leads to a decreased WBC count.
Choice B reason: This is the correct choice. Bone marrow suppression is a common side effect of chemotherapy, leading to a decreased production of blood cells and necessitating precautions to prevent infection.
Choice C reason: T-cell mediated hypersensitivity is not a common side effect of chemotherapy that would dictate the type of precautions needed.
Choice D reason: Stomatitis is a possible side effect of chemotherapy, but it does not primarily determine the type of precautions required as bone marrow suppression does.

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Correct Answer is C

Explanation

Choice A reason: While apple or orange juice contains vitamin C, which can aid iron absorption, it is not sufficient on its own to address anemia.

Choice B reason: Excessive cow's milk can interfere with iron absorption and is not recommended for a child with anemia.

Choice C reason: This is the correct choice. Meats, eggs, and green vegetables are rich in iron, which is essential for treating anemia.

Choice D reason: Fruits, whole grains, and rice are healthy but are not the best sources of iron for addressing anemia in a child.

A. Allowing parents to hold, touch, and rock the infant without time limits. B. Interviewing parents to determine the cause of the incident. C. Providing mementos such as footprints and blankets. D. Advising parents that an autopsy is not necessary and may worsen the grief process.

Correct Answer is A

Explanation

Choice A reason: Allowing parents to hold their infant is a compassionate act that acknowledges their need for closure and can help them begin the grieving process.

Choice B reason: Interviewing parents to determine the cause of the incident is not considered supportive care; it may be part of an investigation but does not provide comfort.

Choice C reason: Providing mementos can be a cherished way for parents to remember their infant and can offer some solace during a difficult time.

Choice D reason: Advising parents about the necessity of an autopsy is not supportive care; it is a medical decision that should be discussed with sensitivity to the parents' feelings and needs. Autopsies can be important for understanding SIDS and preventing future occurrences.

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The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which side effect of chemotherapeutic medications?

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