Page 1005 - Saunders Comprehensive Review For NCLEX-RN

warrant notification of the PHCP. Provision of a low-fat, well-balanced diet is
recommended. Parents are cautioned about administering any medication to the
child, because normal doses of many medications may become dangerous owing to
the liver’s inability to detoxify and excrete them. Hand washing is the most effective
measure for control of hepatitis in any setting, and effective hand washing can
prevent the immunocompromised child from contracting an opportunistic type of
infection.
Test-Taking Strategy: Focus on the subject, care for a child with hepatitis.
Thinking about the pathophysiology associated with hepatitis and the method of
transmission will assist you in answering the question. Because the infection can be
transmitted to others, playing with other children in the playroom is not an
appropriate intervention. Since jaundice is an expected finding, notifying the PHCP
is unnecessary. Planning for an indefinite period of home schooling is not necessary.
Level of Cognitive Ability: Creating
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Planning
Content Area: Pediatrics: Gastrointestinal
Health Problem: Pediatric-Specific: Hepatitis
Priority Concepts: Clinical Judgment; Infection
Reference: McKinney et al. (2018), pp. 994-996.

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