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 bedrest have been ordered for this child
Place the following steps in order from first to last. 1. Administer the antibiotics.
2. Administer IVFs as ordered.
3. Obtain ordered cultures.
4. Ensure the child has bedrest.
3,1,2,4
Explanation: Obtain the cultures first, 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. Provide IVF after the higher-risk need of providing antibiotics had been met, unless the child is in shock, in which case IVF therapy would take precedence. Provide comfort followed by bedrest to allow the child to rest, once higher-priority
needs have been met.
Cognitive: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Learning Outcome 29.3 Integrate information about oncologic emergencies into plans for monitoring all children with cancer.
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