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

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=542234  
> language: ko  
> subject: 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.

## 보기

1. Implement strict neutropenic precautions including private room placement and limiting visitors to immediate family only. **✔ 정답**
2. Administer prescribed antibiotics prophylactically to prevent potential infections in the neutropenic child.
3. Monitor vital signs every 2 hours and document any changes in temperature for infection.
4. Encourage increased fluid intake and provide high-protein nutritional supplements for recovery.

**정답: 1**

## 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.

## 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.

CautionDo 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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