A child has leukemia and is immunosuppressed due to chemotherapy. The mother frantically calls the clinic to say that her child was exposed to varicella (chickenpox). What does the best plan by the nurse include?
1. The child should come to the clinic as soon as possible to receive an injection of varicella immune globulin if he develops chickenpox.
2. The child should come to the clinic as soon as possible to receive an injection of varicella immune globulin.
3. The child should be brought to the clinic immediately to receive a vaccination for chickenpox.
4. The child should be kept away from other children to avoid further exposure to varicella.
2
Rationale 1: Immune globulin is not given after the disease develops.
Rationale 2: Immune globulin must be given before the disease develops.
Rationale 3: The child is immunosuppressed; administering a vaccination for chickenpox could result in developing the disease.
Rationale 4: Keeping the child away from others will not help; the child has already been exposed.
Global Rationale: Immune globulin must be given before the disease develops. Immune globulin is not given after the disease develops. The child is immunosuppressed; administering a vaccination for chickenpox could result in developing the disease. Keeping the child away from others will not help; the child has already been exposed.
You might also like to view...
A patient in the intensive care unit has been NPO, taking nothing by mouth, for several days. The nurse is unable to assess bowel sounds. What should be included in the plan to support this patient's nutritional needs?
1. Maintain NPO status. 2. Prepare to assist with implementation of a large bore venous access device to support total parenteral nutrition. 3. Determine best enteral feeding approach and plan implementation. 4. Begin oral feeding with a diet as tolerated as soon as bowel sounds return.
While providing care, a school-age child develops epistaxis. What should the nurse do to help this patient?
A) Turn the child's head to the side and press on the nasal ridge. B) Sit the child upright and apply pressure to the sides of the nose. C) Keep the child flat and apply pressure to the bridge of the nose. D) Elevate the head of the bed slightly and apply pressure to the forehead.
A nurse working with the older adult population is most likely to assess a need for a financial social service's referral for a(n)
a. white male. b. black female. c. Hispanic male. d. Asian American female.
A primary prevention strategy to reduce child abuse and neglect is
1. Counseling parents suspected of abusing their children and teaching them stress-reduction techniques. 2. Parenting education to improve parent/child relationships. 3. A program to educate the community on how to spot children who have been abused and how/where to report them. 4. Providing support services such as crisis hotlines and respite care.