Which of the following interventions are appropriate for a child ...

[rmenurse]

Which of the following interventions are appropriate for a child placed in protective isolation for neutropenia? Select all that apply.
 
  1. Placing the child on a low-bacteria diet
  2. Changing dressings using sterile technique
  3. Peeling fruits and vegetables before allowing the child to eat them
  4. Allowing fresh-cut flowers in the room as long as they are kept in a vase with water
  5. Allowing individuals who are ill to visit as long as they wear a mask

Question 2

The client with gastroesophageal reflux disease (GERD) has a new prescription for pantoprazole (Protonix). Which of the following instructions should the nurse plan to provide to the client?
 
  1. Chew the pill thoroughly.
  2. Swallow the tablet whole.
  3. Crush the pill if it is difficult to swallow.
  4. Headache is expected to occur.

[af]

Answer to Question 1

1, 2, 3

Rationale: For the hospitalized neutropenic child, flowers or plants should not be kept in the room because standing water and damp soil harbor Aspergillus and Pseudomonas species, to which these children are very susceptible. Fruits and vegetables not peeled before being eaten harbor molds and should be avoided until the white blood cell count rises. The child is placed on a low-bacteria diet. Dressings are always changed using sterile technique. Individuals who are ill are not allowed to visit the client.

Answer to Question 2

2

Rationale: Protonix, a proton pump inhibitor, is a delayed-release medication and should be swallowed whole. It should not be chewed or crushed. Headache is a potential side effect of the medication and should be reported to the health care provider.