Question

A 4-year-old child with acute lymphocytic leukemia has been admitted to the hospital in relapse. The priority concern is infection due to immunosuppression. Which of the following interventions would the nurse include in the plan of care?

a) Encouraging contact with other children
b) Administering live vaccines
c) Strict hand hygiene for visitors and caregivers
d) Providing a diet high in raw fruits and vegetables

Answer 1

The priority concern for a 4-year-old child with acute lymphocytic leukemia in relapse is the risk of infection due to immunosuppression. The nurse should include the intervention of strict hand hygiene for visitors and caregivers in the plan of care.

Step-by-step explanation:

The priority concern for a 4-year-old child with acute lymphocytic leukemia in relapse is the risk of infection due to immunosuppression. In order to prevent infection, the nurse should include the intervention of strict hand hygiene for visitors and caregivers in the plan of care.

This intervention is important because it helps reduce the transmission of pathogens from visitors and caregivers to the child. By practicing proper hand hygiene, such as washing hands with soap and water or using hand sanitizer, the risk of introducing harmful bacteria and viruses to the child's already compromised immune system is minimized.

Other interventions that should be included in the plan of care for a child with acute lymphocytic leukemia in relapse include providing a clean and sterile environment, administering appropriate vaccinations (excluding live vaccines), and ensuring the child follows a balanced and nutritious diet to support their overall immune system.