In teaching parents how to minimize or prevent bleeding episodes when the child is myelosuppressed, the nurse includes what information?
a. Meticulous mouth care is essential to avoid mucositis.
b. Rectal temperatures are necessary to monitor for infection.
c. Intramuscular injections are preferred to intravenous ones.
d. Platelet transfusions are given to maintain a count greater than 50,000/mm3.
ANS: A
The decrease in blood platelets secondary to the myelosuppression of chemotherapy can cause an increase in bleeding. The child and family are taught how to perform good oral hygiene to minimize gingival bleeding and mucositis. Rectal temperatures are avoided to minimize the risk of ulceration. Hygiene is also emphasized. Intramuscular injections are avoided because of the risk of bleeding into the muscle and of infection. Platelet transfusions are usually not given unless there is active bleeding or the platelet count is less than 10,000/mm3. The use of platelets when not necessary can contribute to antibody formation and increased destruction of platelets when transfused.
You might also like to view...
A young man has received a diagnosis of androgen deficiency and has been prescribed testosterone. At clinic follow-up appointments, the nurse should prioritize which of the following assessments?
A) Bladder ultrasound and urine testing for glucose and ketones B) Weight and measurement of blood pressure C) Hearing assessment and abdominal girth measurement D) Deep tendon reflexes and random blood glucose testing
The nurse is partnering with the family of a hospitalized premature infant who suffered an intraventricular brain hemorrhage
The nurse instructs the family that the activities that are appropriate for the infant in the hospital and at home include which of the following? Select all that apply. 1. Interacting face to face 2. Holding and rocking the infant 3. Talking softly and singing to the infant 4. Using a day care for stimulation 5. Discouraging sibling interaction
Which strategy would be most effective in the prevention of groupthink within cohesive groups?
1. Participation at the meetings should be limited to core members of the problem-solving group. 2. A member of administration should be present at every meeting to assume the role of ?devil?s advocate.? 3. Promote open inquiry by assigning the crucial evaluator role to a different member at each session. 4. Encourage several independent work groups to examine the same issue prior to group problem solving.
Budgeting focuses on money as a(n):
a. capital constraint. b. employee management tool. c. human resource tool. d. strategic resource.