A nurse is assisting in the plan of care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

Limit the number of health care workers entering the room.

Insert an indwelling catheter to monitor for sediment in the urine.

Take the client’s temperature once per shift

Provide the client with fresh fruit to avoid constipation

Answer and Explanation

The Correct Answer is A

A.   Limiting the number of health care workers entering the room helps reduce the risk of exposure to infections.
B.   Inserting an indwelling catheter is not a routine intervention for immunosuppressed clients and may increase the risk of infection.
C.   Monitoring temperature more frequently than once per shift is crucial to detect early signs of infection in immunosuppressed clients.
D.   Fresh fruit may carry a risk of bacterial contamination, and caution should be exercised in providing it to immunosuppressed clients.

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Correct Answer is ["2"]

Explanation

To answer the question, the nurse should first calculate the dose of ondansetron in mL. The formula is:

Dose (mL) = Ordered dose (mg) / Available dose (mg/mL)

Plugging in the values, we get:

Dose (mL) = 4 mg / 2 mg/mL

Dose (mL) = 2 mL

A. I will schedule important tasks in the afternoon. B. I need to perform range-of-motion of my joints if I notice they are red. C. I should stop exercising if 1 experience any discomfort. D. I can use heat or cold to help relieve my pain

Correct Answer is D

Explanation

A. Scheduling important tasks in the afternoon is a good strategy for managing fatigue, it does not directly address pain relief.
B. Performing range-of-motion if joints are red may exacerbate inflammation and is not a recommended practice.
C. Stopping exercising if experiencing discomfort is essential to differentiate between normal discomfort and pain that may indicate potential harm. Continuing with mild discomfort may be appropriate.
D. Both heat and cold applications can provide relief from rheumatoid arthritis pain and inflammation.

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A nurse is assisting in the plan of care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is reinforcing teaching with a client who has rheumatoid arthritis. Which of the following statements by the client indicates understanding of the information?

Correct Answer is D

Explanation

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