A child with meningococcemia is being admitted to the pediatric ...

[Evvie72]

A child with meningococcemia is being admitted to the pediatric intensive-care unit. This child should be placed in a
 
  1. semiprivate room.
  2. private room,but not in isolation.
  3. private room,in protective isolation.
  4. private room,in respiratory isolation

Question 2

A child who has undergone a hematopoietic stem cell transplantation (HSCT) is ready for discharge.It is important that the nurse teach the family to (Select all that apply.)
 
  1. keep the child on a high-calcium diet.
  2. return the child to school within sixweeks.
  3. practice good handwashing.
  4. avoid obtaining influenzavaccinatio ns.
  5. avoid live plants and fresh vegetables.

[covalentbond]

Answer to Question 1

Answer:4
Rationale:Meningococcemia follows an infection with Neisseria meningitidis. N. meningitidis is transmitted through airborne droplets;thus,the child should be placed in a private room in respiratory isolation. A private room with protective isolation (child is essentially kept in a bubble) would not be appropriate.

Answer to Question 2

Answer:1,3,5
Rationale:Handwashing is essential to prevent the spread of infection. The child should be placed on calcium supplements to reduce the risk of osteopenia. Avoidance of live plants and fresh vegetables decreases the risk of infection
(bacteria). The child can't return to school for six to twelve months after an HSCT.In-hospital or in-home schooling is required. The child and the family should be encouraged to get a yearly influenza vaccination.