Nursing care of the child with myelosuppression from leukemia or chemotherapeutic agents should include which therapeutic intervention?
a.
Restrict oral fluids.
b.
Institute strict isolation.
c.
Use good hand-washing technique.
d.
Give immunizations appropriate for age.
ANS: C
Good hand washing minimizes the exposure to infectious organisms and decreases the chance of infection spread. Oral fluids are encouraged if the child is able to drink. If possible, the intravenous route is not used because of the increased risk of infection from parenteral fluid administration. Strict isolation is not indicated. When the child is immunocompromised, the vaccines are not effective. If necessary, the appropriate immunoglobulin is administered.
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