Question

A 3 month old infant is diagnosed with leukemia. Which of the following does the nurse anticipate part of the plan of care for this infant?

A. The baby will be placed in isolation

B. Leukemia is familial and other children should be assessed

C. Immunizations will be withheld during exacerbations

D. The baby will be NPO during chemotherapy

Answer 1

Leukemia is a cancer in which the level of WBC's are increased but it is useless to the body.These are not fully developed WBC's hence cannot give immune response and protection to the body against infections.So the infant exhibit poor immune system.

The nursing care plan includes:

Depends on the child health status:

Answer:

1.The baby will be placed in isolation unit.

Explanation: Due to low immune system the infant cannot fight against infections.Hence it is better to isolate the infant so the risk for developing infections can be avoided.

Wrong options:

B. Leukemia is not a communicable disease so there is no need to consider all the children may have leukemia.So need to assess all children for leukemia.

C. Immunization is withheld not only during exacerbations.Withholding vaccines is Only depend on disease status. Usually live vaccines are totally avoided to the children only the killed vaccines are given to the child. So it not depends on exacerbation or mild period of disease.

D. Not necessary to keep child in NPO. Adviced to take nutritious diet.