A child has thrombocytopenia secondary to chemotherapy ...

[natalie2426]

A child has thrombocytopenia secondary to chemotherapy treatments. Based on this finding, what should the nurse do?
 
  1. Avoid administering intramuscular injections (IM).
  2. Monitor intake and output.
  3. Use palpation as a component of assessment.
  4. Avoid performing oral hygiene.

Question 2

During a well-child visit, the nurse asks the mother of a six-month-old infant, Does your baby sit without assistance? and Is the baby crawling? Which process is the nurse using in this interaction?
 
  1. Disease surveillance
  2. Health promotion
  3. Health maintenance
  4. Developmental surveillance

[choc0chan]

Answer to Question 1

1
Rationale 1: When the child is thrombocytopenic (decreased platelets) from chemotherapy, the nurse should not administer IM injections because of the risk of bleeding.
Rationale 2: Intake and output should be measured for all children receiving chemotherapy but not due to the thrombocytopenia.
Rationale 3: Gentle palpation should still be included in physical assessments unless a Wilms' tumor has been diagnosed or is suspected. However, it is not related to the thrombocytopenia.
Rationale 4: Oral hygiene care should be done with a soft toothbrush.
Global

Answer to Question 2

4
Rationale 1: The questions asked in the stem are not classified as disease surveillance questions; they are developmental surveillance questions.
Rationale 2: While health promotion and maintenance activities are related to developmental surveillance, these questions are looking specifically at the milestones; therefore, the answers health promotion and health maintenance are incorrect.
Rationale 3: While health promotion and maintenance activities are related to developmental surveillance, these questions are looking specifically at the milestones; therefore, the answers health promotion and health maintenance are incorrect.
Rationale 4: The questions asked by the nurse are seeking information about developmental milestones; therefore, the nurse is involved in developmental surveillance.
Global Rationale:

[natalie2426]

Gracias!

[mjenn52]

Excellent