A child undergoing chemotherapeutic treatment for cancer is being admitted to the hospital for fever and possible sepsis.Cultures, antibiotics,and acetaminophen (Tylenol)
along with bed rest have been ordered
for this child. Place the following steps in
order from first to last.
1. Administer the antibiotics
2. Administer the acetaminophen
(Tylenol)
3. Obtain the cultures
4. Ensure the child has bed rest
Answer: 2, 3, 1, 4
Rationale: Give acetaminophen (Tylenol) first to decrease discomfort and reduce
fever. Obtain the cultures next because management of infections is critical, and
since a child on chemotherapy has lowered immune status, unusual agents can
be identified. Cultures can help identify the causative agents before treatment is
started. Give the antibiotics next, as an infection can seriously impact the child who is receiving chemotherapy. Finally, provide comfort followed by bed rest to
allow the child to rest.
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