Final answer:
When caring for a child with acute lymphocytic leukemia (ALL) receiving methotrexate, the nurse should provide information on infection prevention, mouth care, diet and hydration, and monitoring for side effects.
Step-by-step explanation:
When caring for a child with acute lymphocytic leukemia (ALL) who is receiving methotrexate as part of their chemotherapy protocol, the nurse should provide the parents with information about proper care for their child. Here are some important points to share:
- Infection prevention: Chemotherapy can lower the child's immune system, making them more susceptible to infections. The parents should be instructed to practice good hand hygiene and keep the child away from sick individuals.
- Mouth care: Methotrexate can cause mouth sores. The parents should be advised to gently brush the child's teeth with a soft toothbrush and use a mild mouthwash as recommended by the healthcare provider.
- Diet and hydration: It's important to ensure the child is eating a well-balanced diet and staying hydrated. If the child has difficulty eating or drinking, the parents should consult the healthcare provider.
- Monitoring for side effects: The parents should be educated about the potential side effects of methotrexate, such as nausea, vomiting, and changes in blood counts. They should notify the healthcare provider if they notice any concerning symptoms.