Author Question: A child with the diagnosis of AML is receiving chemotherapy. The platelet count is 10,000/mm3. The ... (Read 129 times)

cherise1989 · **on:** Jun 27, 2018

A child with the diagnosis of AML is receiving chemotherapy. The platelet count is 10,000/mm3. The teaching plan for the caregiver should include:

1. Maintaining isolation precautions.
2. Visitors being limited with visiting time.
3. Using a soft toothbrush for mouth care.
4. An assessment of the vital signs every four hours.

Question 2

The nurse is aware that factors that play a part in increasing the risk of ear infections include: (Select all that apply.)

a. Parental smoking
b. Breastfeeding
c. Daycare outside the home
d. Excessive pacifier use
e. Exposure to cold, windy weather

emsimon14 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
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1. The platelet count is not in a range to need precautions at this time.
2. The patient may be tired, but visiting times do not need to be limited.
3. The soft toothbrush will minimize bleeding while performing mouth care.
4. Vital signs need to occur per protocol and as frequently as the patient's status renders.

Answer to Question 2

A, C, D
Factors that may contribute to increased risk of ear infections are parental smoking, daycare outside the home, and excessive pacifier use. Breastfeeding for at least the first 6 months of a child's life has reduced the incidence of AOM.