Which statement made by a nurse to the parents of a child with leukemia should be included in discharge instructions?
a. "Your son's blood pressure must be taken daily while he is on chemotherapy.".
b. "Limit your son's fluid intake just in case he has central nervous system (CNS) involvement.".
c. "Your son must receive all of his immunizations in a timely manner.".
d. "Your son's temperature should be taken daily.".
D
An elevated temperature may be the only sign of an infection in an immunosuppressed child. Parents should be instructed to monitor their child's temperature daily because of the risk for infection, but it is not necessary to take a blood pressure daily. Fluid is never withheld as a precaution against increased intracranial pressure. If a child had confirmed CNS involvement with increased intracranial pressure, limiting fluid intake might be more appropriate. Children who are immunosuppressed should not receive any live virus vaccines.
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The nurse is caring for a patient during a post-ictal period. The patient remembers smelling something like dead fish prior to the seizure. Which of the following responses by the nurse is best?
a. "Today is Friday; the hospital always cooks fish on Fridays." b. "You were probably hallucinating; I will ask for an order for an antihallucinatory agent." c. "The smell of dead fish might be your aura; you should call for help immediately if you smell it again." d. "Most people see a flash of light before a seizure; if this occurs, you should get to safety immediately."
While conducting a review of systems assessment during a health history, which question is appropriate?
1. "Have you ever had a surgical procedure?" 2. "What is your level of education?" 3. "Are you currently taking any medication?" 4. "Do you have a history of respiratory issues?"
The nurse will assess for which complications in the patient who has a nasal endotracheal tube in place? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Tracheoesophageal fistula 2. Wound infection 3. Pressure necrosis of the nares 4. Sinusitis 5. Obstruction of the tube
The nurse is preparing to administer influenza immunizations to a group of clients. The nurse should not administer the immunization to clients who are:
A) elderly. B) naturally immune. C) immunosuppressed. D) not exposed to the influenza virus.