Author Question: A child has leukemia and is immunosuppressed due to chemotherapy. The mother frantically calls the ... (Read 147 times)

rl · **on:** Jul 23, 2018

A child has leukemia and is immunosuppressed due to chemotherapy. The mother frantically calls the clinic to say that her child was exposed to varicella (chicken pox). What does the best plan by the nurse include?

1. The child should come to the clinic as soon as possible to receive an injection of varicella immune globulin if he develops chicken pox.
2. The child should come to the clinic as soon as possible to receive an injection of varicella immune globulin.
3. The child should be brought to the clinic immediately to receive a vaccination for chicken pox.
4. The child should be kept away from other children to avoid further exposure to varicella.

Question 2

A client's blood work shows an anemia that was not present at the last clinic visit 6 months ago. Which questions should the nurse ask this client?

1. Have you had a significant dietary change in the last 6 months?
2. Do you handle chemicals in your new job?
3. Have your stools changed in appearance?
4. Have you been eating more carbohydrates than usual?
5. Are your menstrual periods heavier than normal for you?

pallen55 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Immune globulin is not given after the disease develops.
Rationale 2: Immune globulin must be given before the disease develops.
Rationale 3: The child is immunosuppressed; administering a vaccination for chicken pox could result in developing the disease.
Rationale 4: Keeping the child away from others will not help; the child has already been exposed.

Answer to Question 2

Correct Answer: 1,2,3,5
Rationale 1: Dietary changes may significantly influence production of red blood cells.
Rationale 2: Chemicals can cause RBC destruction.
Rationale 3: Change to dark tarry stool, red stools, or much looser stools could indicate blood loss.
Rationale 4: There is no connection between carbohydrate ingestion and anemia.
Rationale 5: Heavy menstrual flow is a leading cause of blood loss anemia in women.