CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A pediatric patient receiving chemotherapy and a steroid has a WBC count of 12,000/mm³and a RBC count of 4.5 million/mm³. The instruction that should receive priority by the nurse is:

Omit the daily dose of prednisone
Avoid large crowds and people with infections
Shave with an electric rather that a safety razor
Increase the intake of high-protein foods and red meats

Explanation

Answer - B - The instruction that should receive priority by the nurse is to avoid large crowds and people with infections. Moderate leukopenia increases the risk of infection; the patient should be taught protective measures.

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