A 10-year-old child with a brain tumor is receiving chemothe… | 마이메르시 MyMerci
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Child Health
문제

A 10-year-old child with a brain tumor is receiving chemotherapy and has developed severe neutropenia (absolute neutrophil count

The nurse is caring for a pediatric oncology patient who requires immediate protective measures due to compromised immune function.
해설
Neutropenic precautions are the highest priority to prevent life-threatening infections in severe neutropenia. Other interventions are supportive but do not address the immediate infection risk.
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심화 해설


Core Problem Analysis

This question tests your ability to prioritize nursing interventions for a pediatric oncology patient with severe neutropenia (absolute neutrophil count

임상 시나리오

Managing Severe Neutropenia in Pediatric OncologyImmediate Protective Measures for ANC < 500

The highest priority for a child with an absolute neutrophil count (ANC) below 500 cells/mm³ is to prevent pathogen exposure. Implement strict neutropenic precautions immediately.

Core interventions include placing the child in a private room and restricting visitors to immediate family only who are screened for illness. Ensure strict hand hygiene for all who enter.

Caution

Do not rely on prophylactic antibiotics as a first-line protective measure; environmental control is paramount. No fresh flowers or live plants should be in the room due to fungal risk.

핵심 개념

  • Severe Neutropenia — An absolute neutrophil count (ANC) less than 500 cells/mm³, indicating a critically high risk for life-threatening infection.
  • Neutropenic Precautions — A strict infection control protocol including a private room, limited visitors, no fresh flowers, and meticulous hand hygiene to protect the immunocompromised patient.
  • Absolute Neutrophil Count (ANC) — A calculation of the total number of mature neutrophils available to fight infection, derived from the WBC and differential.
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