The nurse is providing care to a school-age client with ...

[nmorano1]

The nurse is providing care to a school-age client with neutropenia. Which clinical manifestations does the nurse anticipate when assessing this client?
 
  1. Fever
  2. Fatigue
  3. Tachycardia
  4. Hypertension
  5. Tachypnea

Question 2

A child who has undergone a hematopoietic stem cell transplantation (HSCT) is ready for discharge. Which items will the nurse include in the discharge teaching for this child and family?
 
  1. Recognize the signs of graft-versus-host disease.
  2. Return the child to school within six weeks.
  3. Practice good handwashing.
  4. Avoid obtaining influenza vaccinations.
  5. Avoid live plants and fresh vegetables.

[Leostella20]

Answer to Question 1

Correct Answer: 1,2,3,5
Rationale: A school-age client who is diagnosed with neutropenia, or a decrease in white blood cells, will likely exhibit fever, fatigue, tachycardia, and tachypnea (as a result of congestive heart failure). The nurse would not anticipate that the client will exhibit hypertension as a result of the diagnosis.

Answer to Question 2

Correct Answer: 1,3,5
Rationale: A child who is preparing for discharge after a HSCT will require specific interventions to decrease the risk of contracting communicable illnesses. Appropriate teaching points include: recognizing the signs of graft-versus-host disease; practicing good handwashing; and avoiding live plants and fresh vegetables. The child will require home schooling for 6 to 12 months. The child and family members should be encouraged to obtain yearly influenza vaccinations.