When caring for a child with leukemia, which of the following goals should be considered primary?

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Questions on Immune System Questions

Question 1 of 5

When caring for a child with leukemia, which of the following goals should be considered primary?

Correct Answer: C

Rationale: The correct answer is C: Preventing infection. In children with leukemia, the primary goal is to prevent infection due to their compromised immune system. Infection can be life-threatening for these patients. Providing a safe environment, proper hand hygiene, and monitoring for signs of infection are crucial. Meeting developmental needs (A) and promoting adequate nutrition (B) are important but secondary to preventing infection. Promoting diversionary activity (D) is beneficial for psychosocial well-being but not as critical as preventing infection in a child with leukemia.

Question 2 of 5

A child has undergone a kidney transplant and is receiving tacrolimus and cyclosporine. The parents ask the nurse about the reason for these two medications. The nurse should explain that these medications are given to

Correct Answer: B

Rationale: The correct answer is B: Suppress rejection. Tacrolimus and cyclosporine are immunosuppressant medications used to prevent the body's immune system from attacking the transplanted kidney. By suppressing the immune response, these medications help reduce the risk of rejection and allow the body to accept the new organ. Boosting immunity (Choice A) would be counterproductive in this scenario as it could lead to rejection. Decreasing pain (Choice C) and improving circulation (Choice D) are not the primary purposes of these medications in the context of a kidney transplant.

Question 3 of 5

The nurse is preparing to ambulate a school-age client who had an appendectomy. In addition to pharmacological pain management, the nurse can use which nonpharmacological pain-management strategy for this client?

Correct Answer: C

Rationale: The correct answer is C: A pillow on the abdomen. Placing a pillow on the abdomen can provide support and gentle pressure, which can help reduce pain and discomfort during ambulation post-appendectomy without the risk of thermal injury or exacerbating inflammation. Heating pads (choice A) and warm, moist packs (choice B) can increase blood flow and potentially worsen inflammation. Ice packs (choice D) are not recommended post-appendectomy due to the risk of vasoconstriction and delayed healing.

Question 4 of 5

The nurse is providing nutritional guidance to the parents of a toddler. Which comment by the parent would prompt the nurse to provide additional education?

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Leaving meat red in the center indicates undercooked meat, which can lead to foodborne illnesses. 2. Red juices are not a reliable indicator of meat doneness, as harmful bacteria can still be present. 3. Properly cooked meat should reach a safe internal temperature to kill bacteria and prevent foodborne illnesses. Summary: - Choice A is correct as raw oysters can contain harmful bacteria. - Choice C is correct as proper handwashing is essential to prevent the spread of bacteria. - Choice D is correct as using separate utensils for raw meat and other foods reduces the risk of cross-contamination.

Question 5 of 5

Which comments indicate that the mother of a toddler needs further teaching about dental care?

Correct Answer: C

Rationale: Step 1: Permanent teeth typically start coming in around age 6-7, so waiting until then for a dental checkup is incorrect. Step 2: Dental care for toddlers should start early to prevent cavities and establish good oral hygiene habits. Step 3: Regular dental checkups are essential to monitor oral health and detect any issues early. Step 4: Choices A, B, and D all demonstrate understanding of dental care practices for toddlers, making them correct. Summary: Choice C is incorrect as it shows a lack of understanding of the importance of early dental care for toddlers. Choices A, B, and D are correct as they demonstrate appropriate dental care practices for toddlers.

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