Author Question: A child being treated for leukemia is diagnosed with neutropenia. What should the nurse instruct the ... (Read 29 times)

yoooooman · **on:** Jun 27, 2018

A child being treated for leukemia is diagnosed with neutropenia. What should the nurse instruct the parents and child to prevent infections? (Select all that apply.)

A) Avoid large crowds.
B) Inspect the skin daily for scratches or scrapes.
C) Increase the intake of fresh fruits and vegetables.
D) Remove house plants, flowers, and goldfish from the home environment.
E) Stay away from people who have obvious colds, rashes, or other infections.

Question 2

The nurse is preparing to administer a medication to a 5-year-old who weighs 35 pounds. The prescribed single dose is 1 to 2 mg/kg/day. Which of the following is the appropriate dose range for this child?

A) 8 to 16 mg
B) 16 to 32 mg
C) 35 to 70 mg
D) 70 to 140 mg

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

Answer to Question 1

A, B, D, E
Feedback:
Strategies to prevent infections in a child with neutropenia include avoiding large crowds; inspecting the skin daily for scratches or scrapes; removing house plants, flowers, and goldfish from the home environment; and staying away from people who have obvious colds, rashes, or other infections. The child's intake of fresh fruits and vegetables should be limited because this could be a source for bacteria.

Answer to Question 2

B
Feedback:
The nurse should convert the child's weight in pounds to kilograms by dividing the child's weight in pounds by 2.2 . (35 pounds divided by 2.2 = 16 kg). The nurse would then multiply the child's weight in kilograms by 1 mg for the low end (16 kg 1 mg = 16 mg) and then by 2 mg for the high end (16 kg 2 mg = 32 mg).