A nurse works on the pediatric oncology floor. After receiving the handoff report, which child does the nurse assess first?
A.
Child on protective isolation
B.
4 hours post-bone marrow biopsy
C.
Not eating an hour after chemotherapy
D.
Temperature of 101.5 °F (38.5 °C)
ANS: D
This fever indicates a probable infection. The nurse will see this child first and provide report to the physician, if this has not already been done. This child is the sickest and should be seen first; one might be tempted to see the child in protective isolation first to avoid cross-contamination, but by following isolation precautions, this risk is minimized. Not eating after chemotherapy is not cause for concern, and the child 4 hours post-bone marrow biopsy should be stable.
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