This topic contains a solution. Click here to go to the answer

Author Question: What is the most appropriate nursing action when the nurse notes a reddened area on the forearm of a ... (Read 67 times)

tingc95

  • Hero Member
  • *****
  • Posts: 556
What is the most appropriate nursing action when the nurse notes a reddened area on the forearm of a neutropenic child with leukemia?
 
  a. Massage the area.
  b. Turn the child more frequently.
  c. Document the finding and continue to observe the area.
  d. Notify the physician immediately.

Question 2

Which statement made by a nurse to the parents of a child with leukemia should be included in discharge instructions?
 
  a. Your son's blood pressure must be taken daily while he is on chemotherapy..
  b. Limit your son's fluid intake just in case he has central nervous system (CNS) involvement..
  c. Your son must receive all of his immunizations in a timely manner..
  d. Your son's temperature should be taken daily..



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Mholman93

  • Sr. Member
  • ****
  • Posts: 328
Answer to Question 1

D
Any signs of infection in a child who is immunosuppressed must be reported immediately because it is considered a medical emergency. When a child is neutropenic, pus may not be produced and the only sign of infection may be redness. In a child with neutropenia, a reddened area may be the only sign of an infection. The area should never be massaged. The forearm is not a typical pressure area; therefore, the likelihood of the redness being related to pressure is very small. The observation should be documented, but because it may be a sign of an infection and immunosuppression, the physician must also be notified.

Answer to Question 2

D
An elevated temperature may be the only sign of an infection in an immunosuppressed child. Parents should be instructed to monitor their child's temperature daily because of the risk for infection, but it is not necessary to take a blood pressure daily. Fluid is never withheld as a precaution against increased intracranial pressure. If a child had confirmed CNS involvement with increased intracranial pressure, limiting fluid intake might be more appropriate. Children who are immunosuppressed should not receive any live virus vaccines.




tingc95

  • Member
  • Posts: 556
Reply 2 on: Jun 27, 2018
Excellent


anyusername12131

  • Member
  • Posts: 327
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Many supplement containers do not even contain what their labels say. There are many documented reports of products containing much less, or more, that what is listed on their labels. They may also contain undisclosed prescription drugs and even contaminants.

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

For a complete list of videos, visit our video library