The nurse is developing a plan of care for a child being admitted to the hospital who is immunosuppressed and who will be placed on neutropenic precautions. With regard to neutropenic precautions, which intervention is incorrect?

Correct Answer: A

Rationale: Correct Answer: A: Admitting the client to a semiprivate room. Rationale: 1. Neutropenic precautions are necessary to protect the immunosuppressed child from infections. 2. Placing the child in a semiprivate room increases the risk of exposure to pathogens from another patient. 3. Neutropenic patients should ideally be placed in a private room to minimize the risk of infections. 4. Sharing a room increases the chances of exposure to potential pathogens, which can be detrimental to the child's health. Summary: B: Placing a precaution sign on the door to the room - Correct, as it alerts staff and visitors to the need for precautions. C: Placing a mask on the client if the client leaves the room - Correct, as it helps reduce the risk of inhaling pathogens. D: Removing a vase with fresh flowers left by a previous client - Correct, as flowers can harbor bacteria and fungi that pose a risk to the

Correct Answer: B

Rationale: The correct answer is B. Elevating the client's knees on the bed or with a pillow is inappropriate for Ineffective Tissue Perfusion in a client with DIC because it can potentially worsen perfusion by hindering blood flow. Elevating the knees can lead to decreased blood circulation to the lower extremities, exacerbating tissue perfusion issues. Monitoring the client's level of consciousness and mental status (A), minimizing the use of tape on the client's skin (C), and assessing extremity pulses, warmth, and capillary refill (D) are appropriate actions for managing Ineffective Tissue Perfusion in a client with DIC. These actions help in early detection of perfusion issues, preventing complications, and ensuring adequate tissue oxygenation.

Correct Answer: C

Rationale: The correct answer is C because leucovorin is used to reduce the toxic effects of methotrexate by "rescuing" normal cells. Methotrexate inhibits folic acid synthesis, affecting rapidly dividing cells. Leucovorin helps replenish folic acid levels in normal cells, reducing toxicity. Taking leucovorin every 6 hours for about the next 3 days after methotrexate administration ensures continuous protection. Statements A, B, and D are incorrect because they do not demonstrate an understanding of the timing and frequency required for leucovorin therapy to counteract the effects of methotrexate.

Correct Answer: D

Rationale: The correct answer is D, administering an antiemetic 30 minutes before chemo. Antiemetics are medications specifically designed to prevent or reduce nausea and vomiting. Administering them before chemo helps to control these side effects. Other choices are incorrect because providing a high fiber diet (A) may not directly address nausea and vomiting, administering allopurinol (B) is not indicated for managing nausea and vomiting, and while increasing fluid intake (C) is important, it may not be as effective as an antiemetic in preventing these symptoms.

Correct Answer: A

Rationale: The correct answer is A: Never stop the medication suddenly. This is important because stopping prednisone suddenly can lead to adrenal insufficiency due to the suppression of the adrenal glands. The other choices are incorrect because B is inaccurate as prednisone is usually taken daily, not just once a week. C is incorrect as there is no specific time of day that prednisone must be taken. D is also incorrect as prednisone is typically taken with food to reduce stomach irritation.