When providing teaching to the guardian of a child who has leukemia about methods to prevent complications, which of the following statements by the guardian indicates an understanding of the teaching, as assessed by a home health nurse?
"I'm sure my child will feel better now that he can ride his bicycle."
"I will make sure my child gets a measles, mumps, and rubella vaccine this week."
"I should take my child's rectal temperature daily."
"I should inspect my child's mouth for sores."
The Correct Answer is D
Children with leukemia are at risk for developing oral mucositis, which is inflammation and ulceration of the oral mucosa due to the destruction of rapidly dividing cells by chemotherapy. Inspecting the child's mouth for sores and providing appropriate mouth care is essential to prevent infection and to maintain hydration and nutrition. Riding a bicycle is not recommended for a child with leukemia because of the risk of falls and injuries, and the measles, mumps, and rubella vaccine is contraindicated for children with leukemia who are receiving chemotherapy. Measuring the temperature orally or axillary is a safe and accurate method for monitoring the child's temperature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
The correct answers are A, D, and E. Primary prevention activities aim to prevent the onset of disease or injury. Teaching a class about the risks of cigarette smoking and organizing a program to promote skateboard safety are examples of primary prevention activities. Lobbying for funding for health promotion efforts is also a primary prevention activity because it aims to prevent the occurrence of illness or injury in the community. Creating a plan of care for children who have a diagnosis of diabetes mellitus and recommending a seating arrangement for a child in a body cast are examples of secondary prevention activities, which aim to detect and treat health problems early to prevent complications.
Correct Answer is B
Explanation
The correct answer is choice b. Teaching about inhaler use to a client who has asthma.
Choice A rationale:
Educating adults about breast cancer screening guidelines is an example of secondary prevention. It aims to detect and treat disease early to halt its progress.
Choice B rationale:
Teaching about inhaler use to a client who has asthma is an example of tertiary prevention. It involves managing an existing chronic condition to prevent complications and improve quality of life.
Choice C rationale:
Providing STI testing for students on a college campus is an example of secondary prevention. It focuses on early detection and treatment to prevent the spread of infections.
Choice D rationale:
Promoting the use of helmets with children who ride bicycles is an example of primary prevention. It aims to prevent injury before it occurs by encouraging safe practices.
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