A child with leukemia has a granulocyte count of 250/mm3 and a ...

[haleyc112]

A child with leukemia has a granulocyte count of 250/mm3 and a platelet count 150, 000/mm3. Nursing intervention would include which of the following?
 
  1. Strict isolation
   2. Good handwashing
   3. Fluid restriction
   4. Avoidance of mouth care

Question 2

When the home health nurse visits the home of a 10-month-old child, she observes the environment for risks for injury to the child. Which observation will the nurse discuss with the mother?
 
  1. The mother leaves the filled mop bucket on the floor while in another room.
  2. The mother turns all pan handles to the back of the stove.
  3. The mother fills the bath tub before bringing the baby into the bathroom.
  4. When riding in a car, the child is in a car seat in the middle of the back seat.

[Amiracle]

Answer to Question 1

2
Rationale:
1. The child should be isolated from anyone infectious, but strict isolation is not necessary.
2. Handwashing is vital for preventing the spread of infection.
3. Fluids should continue to be encouraged.
4. Platelet count is normal; mouth care should include brushing with a soft toothbrush and frequent rinsing.

Answer to Question 2

1
Rationale 1: Toddlers can drown in a minimum amount of water. The child may look in the bucket and fall in head first. Because of mobility limitations, the child may not be able to get out of the bucket without help.
Rationale 2: This is appropriate to reduce the risk of injury.
Rationale 3: This allows the mother to adjust the temperature of the bath water and reduces the risk of burns.
Rationale 4: This is the safest place for the child.
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