A client received chemotherapy 24 hours ago. Which precautions are necessary when caring for the client?
Wear sterile gloves.
Place incontinence pads in the regular trash container.
Wear personal protective equipment when handling blood, body fluids, and feces.
Provide a urinal or bedpan to decrease the likelihood of soiling linens.
The Correct Answer is C
A. Wear sterile gloves. Sterile gloves are typically required for invasive procedures, not general care after chemotherapy. The key concern here is exposure to chemotherapy agents in bodily fluids.
B. Place incontinence pads in the regular trash container. Incontinence pads and other items contaminated with bodily fluids should be disposed of in a hazardous waste container, not regular trash, to prevent exposure to chemotherapy agents.
C. Wear personal protective equipment when handling blood, body fluids, and feces. Chemotherapy agents can be excreted in bodily fluids, so wearing PPE is essential to protect the healthcare worker from exposure.
D. Provide a urinal or bedpan to decrease the likelihood of soiling linens. While providing a urinal or bedpan may be practical, it does not address the key concern of handling potentially contaminated bodily fluids safely.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Agranulocytosis: Carbamazepine carries a boxed warning for serious hematologic effects, including agranulocytosis and aplastic anemia. Agranulocytosis is a significant drop in white blood cell count, leading to a high risk of infection.
B. Birth defects: While carbamazepine is associated with birth defects when taken during pregnancy, the boxed warning specifically highlights the risk of severe blood disorders like agranulocytosis.
C. Skin rash: Carbamazepine can cause serious skin reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis, but the boxed warning focuses more on the hematologic risks.
D. Liver damage: Although carbamazepine can cause liver damage, this is not the primary focus of the boxed warning, which emphasizes hematologic effects.
Correct Answer is D
Explanation
A. Administer a saline enema for constipation. Administering a saline enema may be necessary for constipation, but it is not directly related to managing bone marrow suppression.
B. Initiate contact precautions. Contact precautions are typically used for infectious diseases. In clients with bone marrow suppression, neutropenic precautions are more appropriate to prevent infections.
C. Encourage independence in the completion of ADLs. While promoting independence is important, clients with bone marrow suppression may be fatigued or immunocompromised, requiring assistance to reduce infection risk and conserve energy.
D. Monitor oral mucosa daily. Monitoring oral mucosa daily is crucial because clients with bone marrow suppression are at risk for mucositis, which can lead to infection and impact nutrition and hydration.
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