Question of the Week – March 22, 2023

Rationale:

Answer: 1

Rationale: When the child is receiving chemotherapy, the nurse should avoid taking rectal temperatures. Oral temperatures are also avoided if mouth ulcers are present. Axillary temperatures should be taken or a tympanic thermometer should be used to prevent alterations in skin integrity. Meticulous mouth care should be performed; the nurse should use a soft-bristled toothbrush and avoid use of alcohol-based mouthwash. The nurse should assess the mouth and anus each shift for ulcers, erythema, or breakdown. Bland, nonirritating foods and liquids should be provided to the child. Fresh fruits and vegetables should be avoided because they can harbor organisms. Chemotherapy can cause neutropenia, and the child should be maintained on a low-bacteria diet if the white blood cell count is low.

Level of Cognitive Ability: Applying

Client Needs: Physiological Integrity

Integrated Process: Nursing Process/Planning

Content Area: Pediatrics: Oncological

Health Problem: Pediatric-Specific: Cancers