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    RN Comprehensive Predictor 2023 Proctored Exam

    A nurse is planning care for a child who has neutropenia due to leukemia. Which of the following interventions should the nurse include in the plan of care?

    Explanation & Rationale

    A. Initiate a low-protein diet for the child: A low-protein diet is not indicated for neutropenia and may impair healing and immune function. Adequate nutrition, including sufficient protein, supports recovery and immune response. B. Screen the child's visitors for active infections: Neutropenia significantly increases the risk of infection due to low white blood cell counts, so screening visitors for active infections helps reduce the chance of exposing the child to infectious agents. C. Monitor the child for indications of active bleeding: While bleeding risk is important in leukemia, neutropenia specifically refers to decreased neutrophils affecting infection risk rather than platelets, so bleeding monitoring is important but not the primary focus here. D. Prepare the child for a platelet transfusion: Platelet transfusions are used to address thrombocytopenia, not neutropenia. Transfusions may be needed in leukemia but are not directly related to neutropenia care.

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