The nurse is reviewing the laboratory results of a child with ...

[tsand2]

The nurse is reviewing the laboratory results of a child with aplastic anemia and notes that the white blood cell (WBC) count is 2000 cells/mm3 and the platelet count is 150,000 cells/mm3.
 
  Which of the following nursing interventions will the nurse incorporate into the plan of care? 1. Avoid unnecessary injections.
  2. Maintain strict neutropenic precautions.
  3. Encourage quiet play activities.
  4. Encourage the child to use a soft toothbrush.

Question 2

The client who has developed atrial fibrillation is not responding to medication therapy and has been placed on warfarin (Coumadin). The nurse is doing discharge dietary teaching with the client.
 
  The nurse would tell the client to avoid which of the following foods while taking this medication? 1. Cherries
  2. Potatoes
  3. Broccoli
  4. Spaghetti

[isabelt_18]

Answer to Question 1

2

Rationale: The normal WBC count ranges from 5000 to 10,000 cells/mm3, and the normal platelet count ranges from 150,000 to 400,000 cells/mm3. Strict neutropenic procedures would be required if the WBC count were low to protect the child from infection. Precautionary measures to prevent bleeding should be taken when a child has a low platelet count. These include no in-jections, no rectal temperatures, use of a soft toothbrush, and abstinence from contact sports or activities that could cause an injury.

Answer to Question 2

3

Rationale: Anticoagulant medications work by antagonizing the action of vitamin K, which is needed for clotting. When a client is taking an anticoagulant, foods high in vitamin K are often omitted from the diet. Vitamin K is found in large amounts in green leafy vegetables, such as broccoli, cabbage, turnip greens, and lettuce. The other options listed are foods that are lower in vitamin K.

[tsand2]

Excellent

[epscape]

TYSM