Author Question: A child is being admitted for mild neutropenia and a severe oral monilial infection ... (Read 47 times)

bclement10 · **on:** Jun 28, 2018

A child is being admitted for mild neutropenia and a severe oral monilial infection posthematopoietic stem cell transplantation (HSCT). To which of the following rooms should the nurse assign this child?

1. Semi-private room
2. Private room with negative pressure
3. Private room
4. Semi-private room with protective isolation

Question 2

The nurse is doing an assessment on a four-month-old infant. Which assessment finding would the nurse consider abnormal?

1. The posterior fontanel is open.
2. The infant has good head control when held upright.
3. The infant is able to roll only from abdomen to back.
4. The anterior fontanel is open and soft.

jaaaaaaa · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

3
Rationale:
1. Risk of infection would prohibit use of a semi-private room.
2. A negative-pressure room is not indicated for a mild neutropenia.
3. A private room to minimize risk of infection is appropriate. No further precautions are necessary.
4. A semi-private room and protective isolation are not appropriate for this patient.

Answer to Question 2

1
Rationale 1: The posterior fontanel closes between two and three months of age.
Rationale 2: Good head control is expected at four months of age.
Rationale 3: Rolling from abdomen to back is a skill the four-month-old should be learning.
Rationale 4: An open anterior fontanel, which is soft, is a normal finding at four months.
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