Which of the following best describes a neuroblastoma?

Sure, let’s calculate the total fluid intake step by step.

Step 1: Convert ½ cup of juice to mL.

• 1 cup = 240 mL
• ½ cup = 240 mL ÷ 2 = 120 mL
• Result: 120 mL

Step 2: Convert 3 oz of gelatin to mL.

• 1 oz = 30 mL
• 3 oz = 3 × 30 mL = 90 mL
• Result: 90 mL

Step 3: Convert 1 oz of an ice pop to mL.

• 1 oz = 30 mL
• 1 oz = 30 mL
• Result: 30 mL

Step 4: Ginger ale is already in mL.

• Result: 20 mL

Step 5: Add all the mL values together.

• 120 mL (juice) + 90 mL (gelatin) + 30 mL (ice pop) + 20 mL (ginger ale) = 260 mL
• Result: 260 mL

The nurse should record the child’s fluid intake as 260 mL.

Choice A reason: This choice is incorrect because having them share a room with a child with active mumps may expose them to infection and worsen their condition. A child who is immunosuppressed due to leukemia or chemotherapeutic agents has a weakened immune system and is more susceptible to infections from bacteria, viruses, fungi, or parasites. Therefore, they should be placed in a private room or cohorted with another immunosuppressed child.

Choice B reason: This choice is incorrect because restricting oral fluids may cause dehydration and electrolyte imbalance in the child who is immunosuppressed due to leukemia or chemotherapeutic agents. A child who is immunosuppressed due to leukemia or chemotherapeutic agents may have increased fluid losses from vomiting, diarrhea, fever, or sweating. Therefore, they should be encouraged to drink adequate fluids to maintain hydration and electrolyte balance.

Choice C reason: This choice is incorrect because strict isolation may cause psychological distress and social isolation in the child who is immunosuppressed due to leukemia or chemotherapeutic agents. A child who is immunosuppressed due to leukemia or chemotherapeutic agents may benefit from protective isolation, which involves using standard precautions and additional measures such as wearing gloves, gowns, masks, or eye protection when in contact with the child or their body fluids. However, strict isolation, which involves limiting visitors and activities, may harm the child's emotional and developmental well-being.

Choice D reason: This choice is correct because using good handwashing is essential nursing care for a child who is immunosuppressed due to leukemia or chemotherapeutic agents. Handwashing is the most effective way to prevent the transmission of microorganisms that can cause infections. The nurse should wash their hands before and after touching the child or their belongings, and teach the child and their family members to do the same. The nurse should also use alcohol-based hand rubs when water and soap are not available.