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A nurse is admitting a pediatric client to the unit who has leukemia. Which client should the nurse place in the same room with this child?

A.

A child who is recovering from nasopharyngitis

B.

A child who has nephrotic syndrome

C.

A child who has gastroenteritis

D.

A child who has rheumatic fever

Answer and Explanation

The Correct Answer is B

Rationale:

 

A. A child recovering from nasopharyngitis could still be contagious, and since children with leukemia have compromised immune systems, they are at higher risk of infections.

 

B. A child with nephrotic syndrome, although potentially needing special care, does not pose the same infection risk as a child recovering from an infectious disease. Therefore, they are a more suitable roommate for a child with leukemia.

 

C. A child with gastroenteritis may still be infectious and could expose the child with leukemia to gastrointestinal pathogens.

 

D. A child with rheumatic fever does not have a contagious illness, but the specific needs of the child with leukemia and the potential for complications from infections make it less ideal compared to a non-infectious condition like nephrotic syndrome.


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Correct Answer is A

Explanation

Rationale:

A. Activities should be tailored to the child’s developmental level, as children with spastic cerebral palsy may have delays in reaching developmental milestones.

B. Corticosteroids are not typically used for cerebral palsy, as it is a non-progressive condition affecting motor function, not an inflammatory condition.

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Correct Answer is A

Explanation

Rationale:

A. The varicella vaccine, which is a live attenuated vaccine, may be withheld if the child is symptomatic of their illness or has a significantly compromised immune system. This is due to the increased risk of severe reactions or complications in immunocompromised individuals.

B. The vaccination schedule is still applicable to children with HIV, but there may be adjustments based on the child’s immunocompetence and specific health status.

C. The pneumococcal vaccine is recommended for children with HIV and is typically administered according to the standard schedule, not delayed until the first birthday.

D. The HPV vaccine is generally recommended for children with HIV, as they are at increased risk for HPV-related complications. It is not contraindicated.

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