Which of the following interventions are appropriate for a child placed in protective isolation for neutropenia? Select all that apply
1. Placing the child on a low-bacteria diet
2. Changing dressings using sterile technique
3. Peeling fruits and vegetables before allowing the child to eat them
4. Allowing fresh-cut flowers in the room as long as they are kept in a vase with water
5. Allowing individuals who are ill to visit as long as they wear a mask
1, 2, 3
Rationale: For the hospitalized neutropenic child, flowers or plants should not be kept in the room because standing water and damp soil harbor Aspergillus and Pseudomonas species, to which these children are very susceptible. Fruits and vegetables not peeled before being eaten harbor molds and should be avoided until the white blood cell count rises. The child is placed on a low-bacteria diet. Dressings are always changed using sterile technique. Individuals who are ill are not allowed to visit the client.
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A patient has an acute infection. What blood cell does the nurse expect to be increased?
A) Erythrocytes B) Neutrophils C) Platelets D) Basophils
A woman who has a seizure disorder and takes barbiturates and phenytoin sodium daily asks the nurse about the pill as a contraceptive choice. The nurse's most appropriate re-sponse would be:
a. "This is a highly effective method, but it has some side effects." b. "Your current medications will reduce the effectiveness of the pill." c. "The pill will reduce the effectiveness of your seizure medication." d. "This is a good choice for a woman of your age and personal history."
The Pediatric Research Equity Acts requires:
1. All children be provided equal access to drug research trials 2. Children to be included in the planning phase of new drug development 3. That pediatric drug trials guarantee children of multiple ethnic groups are included 4. All applications for new active ingredients, new indications, new dosage forms, or new routes of administration require pediatric studies
While performing a home visit with an elderly patient, the nurse notices that the patient's dress is less tidy than in previous visits, and she finds an open orange juice container in the pantry cabinet instead of the refrigerator and a roll of paper towe
a. Begin rearranging the patient's storage, and show her how it needs to be done. b. Raise her voice, and tell the patient that this is not acceptable. c. Complete a Mini-Mental State Examination (MMSE) or Short Geriatric Depression Scale (GDS). d. Realize that elderly patients do things differently.