A nurse is instituting neutropenic precautions for a child. What ...

[stevenposner]

A nurse is instituting neutropenic precautions for a child. What information would the nurse most likely include? Select all that apply
 
  A) Placing the child in a semiprivate room
  B) Avoiding rectal exams, suppositories, and enemas
  C) Placing a mask on the child when outside the room
  D) Encouraging an intake of raw fruits and vegetables
  E) Discouraging fresh flowers in the child's room

Question 2

The nurse is preparing to obtain a blood specimen via capillary heel puncture. Which action would be most appropriate for the nurse to do?
 
  A) Apply a cool compress for several minutes before collection.
  B) Elevate the extremity used after puncturing it.
  C) Squeeze the area to facilitate specimen collection.
  D) Wipe away the first drop of blood with dry gauze.

[kingdude89]

Answer to Question 1

Ans: B, C, E
Generally, neutropenic precautions include placing the child in a private room; avoiding rectal suppositories, enemas, and examinations; placing a mask on the child when outside the room; avoiding the intake of raw fruits and vegetables; and not permitting fresh flowers or live plants in the room.

Answer to Question 2

Ans: D
When obtaining a blood specimen by capillary puncture, the nurse should wipe away the first drop of blood with a cotton ball or dry gauze pad and then collect the sample without squeezing the foot to prevent possible hemolysis. Prior to the puncture, the nurse can apply a commercial heel warmer or warm compress for several minutes to promote vasodilation. The extremity being used should be placed in the dependent position after puncturing the heel.