Question

What should the nurse include in the plan of care for a child who is receiving chemotherapy for a diagnosis of leukemia?

A) Encourage the child to engage in vigorous physical activities.
B) Limit the child's fluid intake to prevent dehydration.
C) Monitor for signs of infection and provide infection prevention measures.
D) Administer live vaccines to boost the child's immune system.
E) Encourage a diet high in raw and undercooked meats.

Answer 1

The nurse should focus on monitoring for signs of infection, preventing infections, ensuring hydration, and providing a safe diet for a child undergoing chemotherapy for leukemia, while avoiding live vaccines and limiting raw or undercooked foods. C) Monitor for signs of infection and provide infection prevention measures.

Step-by-step explanation:

Plan of Care for a Child Receiving Chemotherapy for Leukemia

When caring for a child who is receiving chemotherapy for leukemia, it's imperative to focus on strategies that address their weakened immune system and counteract the side effects of chemotherapy. Encouraging vigorous physical activities is not appropriate; instead, engaging in gentle exercise as tolerated can be beneficial. It's also not advisable to limit the child's fluid intake; hydration is essential to help flush out toxins from the chemotherapy. Most importantly, monitoring for signs of infection and taking steps to prevent infection are crucial due to the child's compromised immune status.

Live vaccines should generally be avoided, as they may pose a risk to a patient with a weakened immune system. Similarly, it's essential to discourage a diet high in raw and undercooked meats due to the increased risk of infection. Ensuring a safe and nutritious diet, alongside close medical monitoring and supportive care, is vital for a child undergoing chemotherapy for leukemia.