A nurse is instructing a parent on how to obtain a stool culture ...

[cherise1989]

A nurse is instructing a parent on how to obtain a stool culture for ova and parasites from a child with diarrhea. What would the nurse include in the teaching plan?
 
  A) Give the child bismuth and then collect the next specimen.
  B) Obtain the specimen from the toilet after the child has a bowel movement.
  C) Keep the specimen from coming into contact with any urine.
  D) Bring the specimen to the laboratory on the third day.

Question 2

The nurse is developing a plan of care for a child who is receiving cyclophosphamide. What advice would the nurse expect to include?
 
  A) Withholding food and fluids from the child during the infusion
  B) Encouraging frequent voiding during and after the infusion
  C) Monitoring for signs of anaphylaxis during infusion
  D) Assessing the child for complaints of bone pain

[jaaaaaaa]

Answer to Question 1

Ans: C
A stool specimen for culture must be free of urine, water, and toilet paper. Therefore, the parent needs to understand how to collect the specimen so that it does not come into contact with any these. In addition, the specimen should not be retrieved out of toilet water. Mineral oil, barium, and bismuth interfere with the detection of parasites. In such cases, specimen collection should be delayed for 7 to 10 days. Once the specimen is collected, it should be brought to the laboratory immediately.

Answer to Question 2

Ans: B
Cyclophosphamide may cause hemorrhagic cystitis. Therefore, the nurse needs to provide adequate hydration and have the child void frequently during and after the infusion to decrease the risk of hemorrhagic cystitis. Fluids need to be encouraged, not withheld. Monitoring for anaphylaxis would be appropriate when asparaginase or etoposide is given. Bone pain is associated with the administration of filgrastim or sargramostim.

[cherise1989]

Thanks for the timely response, appreciate it

[tandmlomax84]

Gracias!