A 5-year-old child with leukemia is receiving chemotherapy. The nurse notes that the child's white blood cell count is low. What is the nurse's priority intervention?

Correct Answer: B

Rationale: The priority intervention for a 5-year-old child with leukemia receiving chemotherapy and having a low white blood cell count is to place the child in protective isolation. This intervention helps reduce the risk of infection, which is crucial in this immunocompromised state. Protective isolation aims to limit the child's exposure to pathogens and promote their safety during a period of increased vulnerability to infections.

Correct Answer: A

Rationale: In this scenario, the most concerning assessment finding for a caregiver of a 2-month-old infant with bronchiolitis is option A) Nasal flaring and grunting. This is because nasal flaring and grunting are signs of increased respiratory distress in infants, indicating that the infant is having difficulty breathing. This can be a critical symptom in bronchiolitis, a condition that affects the lower respiratory tract and can lead to respiratory failure in severe cases. Option B) Coughing and wheezing are common symptoms of bronchiolitis and are expected in this condition. While they can cause discomfort to the infant, they are not as concerning as signs of respiratory distress like nasal flaring and grunting. Option C) Poor feeding and irritability can be seen in infants with bronchiolitis due to respiratory distress and general illness. While these symptoms are important to monitor, they are not as immediate and concerning as signs of respiratory distress. Option D) Increased respiratory rate is also a common finding in infants with bronchiolitis. While it is important to monitor and can indicate the severity of the illness, it is not as concerning as nasal flaring and grunting, which directly indicate increased effort in breathing and potential respiratory compromise. Educationally, it is crucial for caregivers and healthcare providers to recognize signs of respiratory distress in infants with bronchiolitis as early intervention can be life-saving. Understanding the significance of each symptom and its implication on the infant's condition is essential for providing appropriate care and seeking timely medical assistance.

Correct Answer: B

Rationale: The best response for the nurse in this scenario is option B: "It's normal for your child to feel scared. Let's talk about what to expect." This response acknowledges the parent's concern, validates the child's emotions, and opens the door for a supportive conversation to address the child's fears. Option A is incorrect because it makes a blanket statement about children at this age not being afraid of surgery, which is not true for all children. Option C is not the best response as it deflects the responsibility from the nurse to the surgeon. Option D is dismissive and does not address the parent's concern or the child's emotions. In a pediatric nursing context, it is crucial to acknowledge and address the emotional needs of both the child and their family members. By engaging in open communication, providing information, and offering support, the nurse can help alleviate fears and build trust with the child and their family, ultimately promoting a positive surgical experience.

Correct Answer: B

Rationale: In pediatric nursing, it is crucial to provide accurate information to parents regarding their child's post-operative care. The best response by the nurse in this scenario is option B) The child should avoid strenuous activities for at least 2 weeks. This response is correct because after an appendectomy, the child needs time to heal and recover fully. Engaging in strenuous activities too soon can lead to complications such as wound dehiscence or infection. The 2-week timeframe allows for adequate healing of the surgical site and reduces the risk of complications. Option A is incorrect because the child's ability to resume normal activities should not be solely based on how they feel, as this may not align with their actual physical readiness for activities. Option C is incorrect because the timing of resuming normal activities should not be solely dependent on when the stitches are removed. The healing process involves more than just the closure of the incision. Option D is incorrect as it is overly restrictive. Complete avoidance of all physical activities for a month is unnecessary and may hinder the child's overall recovery and well-being. Educationally, understanding the appropriate post-operative care for a child after an appendectomy is essential for pediatric nurses to ensure optimal recovery and minimize complications. By providing accurate information to parents, nurses play a vital role in promoting the child's health and well-being post-surgery.

Correct Answer: B

Rationale: Celiac disease is managed with a strict gluten-free diet, necessitating the avoidance of foods containing wheat, barley, and rye. Gluten is found in these grains and can trigger an immune response in individuals with celiac disease, leading to damage to the small intestine. Therefore, it is essential for individuals with celiac disease, including children, to carefully avoid gluten-containing foods to maintain their health and well-being.