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 B
Explanation
A. "Are you feeling worse since taking the medication?" This is an important safety question to ask, as it helps to assess whether the client’s condition has worsened since starting the medication. However, it is not the first priority when evaluating the efficacy of a newly prescribed antidepressant.
B. "How long have you been taking the medication?" This is the most important question to ask first because the effectiveness of imipramine, a tricyclic antidepressant, can take several weeks to become apparent. If the client has not been taking the medication for an adequate period, the drug may simply not have had enough time to work yet.
C. "What time of day are you taking the medication?" While the timing of the medication can affect side effects, it is less critical than knowing how long the client has been on the medication when assessing its effectiveness.
D. "What dosage of medication are you taking?" This is an important follow-up question but not the first priority. The duration of treatment is more critical to assess before considering dosage adjustments.
Correct Answer is D
Explanation
A. Baked chicken: Baked chicken, if cooked thoroughly, is generally safe for a client with neutropenia (low WBC count) as it does not pose a high risk for infection.
B. Bagels: Bagels, if they are from a safe, uncontaminated source, are generally considered safe for neutropenic clients.
C. A factory-sealed box of chocolates: Factory-sealed chocolates are usually safe as they are unlikely to be contaminated.
D. Fresh fruit basket: Fresh fruits can carry bacteria, especially on the skin or peel, and pose a risk of infection for a client with neutropenia. Therefore, this is the item that should be prohibited.
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