Which should the nurse include in the plan of care for a hospitalized school-age child with myelodysplasia? Select all that apply
1. Implementing interventions for a client of normal intelligence
2. Using latex precautions when providing client care
3. Allowing the client to self-catheterize
4. Ensuring that the client has a low-fiber diet
5. Encouraging the client to shift positions hourly when in the wheelchair
1, 2, 3, 5
Explanation:
1. Many children with myelodysplasia have normal intellect. They should be treated according to their intellectual level rather than their motor development.
2. Children with myelodysplasia are at great risk for latex allergy. It is important to use latex-free products.
3. Self-catheterization fosters independence in this child. It is important to maintain the same schedule as much as possible when this child is hospitalized.
4. Children with myelodysplasia need a high-fiber diet to maintain adequate stool and bowel function.
5. Due to decreased sensation in the buttocks and lower extremities, it is very important for the child to shift positions while in the wheelchair, to prevent pressure sores.
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