A home health nurse is providing teaching to the guardian of a child who has leukemia about methods to prevent complications. Which following statement by the guardian indicates an understanding of the teaching?
A.
“I should take my child’s rectal temperature daily.”
B.
“I’m sure my child will feel beter now that he can ride his bicycle.”
C.
“I should inspect my child’s mouth for sores once a week.”
D.
“I will make sure my child gets a measles, mumps, and rubella vaccine this week.”
The correct answer and Explanation is :
The correct answer is: C. “I should inspect my child’s mouth for sores once a week.”
Explanation:
Children with leukemia, or those undergoing chemotherapy, are at an increased risk of infections and other complications due to their compromised immune system. The correct understanding of preventive measures is crucial in managing their health and preventing complications.
A. “I should take my child’s rectal temperature daily.”
This statement is not advisable because rectal temperatures can be uncomfortable and may increase the risk of rectal bleeding or infection in immunocompromised children. Instead, oral or axillary (underarm) temperatures are preferred for daily monitoring.
B. “I’m sure my child will feel better now that he can ride his bicycle.”
This statement may indicate a lack of understanding of the child’s current health status and physical limitations. Children with leukemia often experience fatigue, weakness, and other symptoms that may limit their ability to engage in physical activities like riding a bicycle. It’s important to follow medical advice regarding physical activity and ensure any activity is safe and appropriate for the child’s condition.
C. “I should inspect my child’s mouth for sores once a week.”
This statement reflects an understanding of a critical aspect of care for a child with leukemia. Oral mucositis or sores in the mouth are common complications of leukemia and its treatment. Regular inspection of the mouth for sores can help in early detection and management of these issues, which is important in preventing infections and ensuring proper nutrition and comfort.
D. “I will make sure my child gets a measles, mumps, and rubella vaccine this week.”
This statement is incorrect because live vaccines, such as the MMR (measles, mumps, and rubella) vaccine, are generally contraindicated in children undergoing chemotherapy or those with compromised immune systems. Vaccination schedules should be reviewed and managed by the healthcare provider to ensure they are safe and appropriate for the child’s current health status.
In summary, the best approach for the guardian is to regularly inspect the child’s mouth for sores, which helps in early detection and management of potential complications.