Question

A nurse is creating a plan of care for a child who has acute lymphoid leukemia and an absolute neutrophil count of 400/mm3. What intervention should the nurse include in the plan?

A. Limiting visitors to immediate family members only.
B. Administering live vaccines as scheduled.
C. Encouraging the child to play with age-appropriate toys.
D. Providing a diet rich in fresh fruits and vegetables.

Answer 1

The best intervention is to limit visitors to immediate family members to reduce infection risk due to the child's low absolute neutrophil count from acute lymphoid leukemia.

Step-by-step explanation:

The nurse creating a plan of care for a child who has acute lymphoid leukemia and an absolute neutrophil count (ANC) of 400/mm3 should include 'A. Limiting visitors to immediate family members only' in the plan. This intervention is crucial because of the child's significantly reduced ANC, which indicates neutropenia and a heightened risk for infection. Limiting visitors can minimize exposure to pathogens and reduce the potential for infections. Other options, such as administering live vaccines and providing a diet rich in fresh fruits and vegetables, would not be appropriate due to the risk of infection and the child's compromised immune system.