Practice Quiz

CCRN Critical Care Nursing

Category - Pediatrics

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When developing a plan of care that includes interventions aimed at preventing complications of a low platelet count in a child with leukemia, which of the following is most appropriate:
  1. placing the child in protective isolation
  2. consulting doctor about the use of a stool softener
  3. eliminating raw vegetables and fruits from the child’s diet
  4. using heparin instead of saline to flush an intermittent IV access device
Explanation
Answer: B - The use of a stool softener would assist in preventing damage to the rectal mucosa due to hard stool, thereby decreasing the chances of rectal bleeding. Placing the child in protective isolation would be appropriate for the child if the neutrophil count was low. The use of heparin is contraindicated in situations in which there is a possibility of increased bleeding due to low platelets. Avoiding raw vegetables or fruits would be indicated if the child’s neutrophil count were low.
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