1. A child with leukemia is being discharged after beginning chemotherapy.
Which of the following instructions will the nurse include when teaching the
parents of this child?
a)provide a diet low in protein and high carbohydrates
b) avoid fresh vegetables that are not cooked or peeled
c) notify the doctor if the child's temperature exceeds 101 F (39C)
d) increase the use of humidifiers throughout the house:
Answer:
Answer B fresh fruits and vegetables harbor microorganisms, which can cause
infections in immune-compromised child. Fruits and vegetables should either be
peeled or cooked. The physician should be notified of a temperature above 100F, a
diet low in protein is not indicated, and humidifiers harbor fungi in the water
containers.
2. A client with hemophilia has a very swollen knee after falling from
bicycleriding.
Which of the following is the first nursing action?
a)initiate an IV site to begin administration of cryoprecipitate
b) type and cross-match for possible transfusion
c) monitor the client's vital signs for the first 5 minutes
d) apply ice pack and compression dressings to the knee:
Answer:
Answer Drest, ice, compression, and elevation (RICE)are the immediate treatments
to reduce
the swelling and bleeding into the joint. These are the priority actions for bleeding
into the joint of a client with hemophilia
3. A client and her husband are positive for the sickle cell trait. The client asks
the nurse about chances of her children having sickle cell disease. Which of
the following is appropriate response by the nurse?
a)one of her children will have sickle cell disease
b) only the male children will be affected
c) each pregnancy carries a 25% chance of the child being affected
d) if she had four children, one of them would have the disease:
Answer:
Answer C
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