Question

A nurse is reinforcing discharge teaching with the guardian of a school-age child who has acute lymphocytic leukemia and an absolute neutrophil count of 450/mm3. Which of the following instructions should the nurse include?

A. Avoid crowds and people who are sick.
B. Take all medications as prescribed.
C. Wash hands frequently with soap and water.
D. Avoid sharing personal items such as cups, utensils, and towels.

Answer 1

The nurse should include instructions about avoiding crowds and sick people, taking medications as prescribed, washing hands frequently, and avoiding sharing personal items.

Step-by-step explanation:

The nurse should include all of the following instructions:

1. Avoid crowds and people who are sick.
2. Take all medications as prescribed.
3. Wash hands frequently with soap and water.
4. Avoid sharing personal items such as cups, utensils, and towels.

These instructions are important because a school-age child with acute lymphocytic leukemia and a low absolute neutrophil count (ANC) is at an increased risk of infection. Avoiding crowds and people who are sick can help reduce the child's exposure to infectious diseases. Taking all medications as prescribed is crucial for managing the child's condition, and frequent handwashing helps prevent the spread of germs. Avoiding the sharing of personal items can further minimize the risk of infection transmission.