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. "My condition is a degenerative brain disorder caused by nutrient deficiency." Wernicke encephalopathy is caused by thiamine (vitamin B1) deficiency, which is often due to chronic alcoholism. The condition is associated with neurological damage from this nutrient deficiency, making this statement accurate.
B. "There is swelling of my brain that is caused by alcohol consumption." Wernicke encephalopathy is not characterized by brain swelling but by neurological damage due to thiamine deficiency.
C. "The inability of my liver to metabolize the alcohol caused this condition." While liver dysfunction can be associated with alcohol use, Wernicke encephalopathy is specifically due to thiamine deficiency, not liver metabolism issues.
D. "Toxins from the alcohol I drank have caused my brain to swell." This statement is incorrect as Wernicke encephalopathy is related to thiamine deficiency rather than brain swelling from alcohol toxins.
Correct Answer is B
Explanation
A. Generalized pain: Generalized pain is not a typical early sign of deterioration following a hemorrhagic stroke.
B. Alteration in level of consciousness (LOC): An alteration in LOC is often the earliest and most sensitive sign of neurological deterioration in clients who have had a hemorrhagic stroke. This can indicate increased intracranial pressure or further bleeding.
C. Tonic-clonic seizures: While seizures can occur after a stroke, they are not typically the earliest sign of deterioration. Changes in LOC usually precede seizure activity.
D. Shortness of breath: Shortness of breath may indicate respiratory issues but is not directly related to early neurological deterioration following a stroke.
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