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    Ati 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. Screen the child's visitors for active infections: Children with neutropenia have a significantly reduced ability to fight infections due to low neutrophil counts. Screening visitors for signs of infection helps prevent exposure to pathogens, which is a critical infection-control measure in neutropenic patients. B. Monitor the child for indications of active bleeding: While monitoring for bleeding is important in leukemia, bleeding risk is primarily related to thrombocytopenia, not neutropenia. This intervention is relevant but not the priority for infection prevention. C. Initiate a low-protein diet for the child: A low-protein diet is not indicated and may be harmful, as children with leukemia require adequate protein for growth, immune function, and recovery. Dietary restrictions should focus on food safety, not protein limitation. D. Prepare the child for a platelet transfusion: Platelet transfusions are indicated for thrombocytopenia, not neutropenia. While supportive care may include transfusions, infection prevention through visitor screening is more directly related to neutropenic risk.

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