Which is an appropriate intervention for a hospitalized child with an absolute neutrophil count (ANC) of 900/mm3?
a. Inspect the child's skin for breaks and redness every shift.
b. Administer the measles, mumps, rubella (MMR) vaccine if the child is not fully im-munized.
c. Check urine and stools for blood.
d. Teach the child to blow the nose gently.
A
An ANC of 900/mm3 reflects a moderate risk of infection. The skin provides a barrier against infection. All areas should be inspected carefully for signs of infection. A live virus vaccine, such as MMR, could produce infection in an immunocompromised child. An appropriate intervention for a child with a low platelet count would be to check urine and stools for blood; an appropriate precaution would be to teach the child to blow the nose gently.
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