A nurse is assisting with the admission of a client who has Hodgkin's disease and is receiving chemotherapy. Because a private room is not available, the nurse should recommend that the client share a room with a client who has which of the following diagnoses?
Sickle-cell anemia
Herpes zoster
Community-acquired pneumonia
Viral meningitis
The Correct Answer is A
A. Sickle-cell anemia: Clients with sickle-cell anemia who are not actively infected do not pose an infectious risk, making them suitable roommates for an immunocompromised client receiving chemotherapy. Cohorting noninfectious clients together minimizes exposure to pathogens while allowing safe shared accommodations.
B. Herpes zoster: Active shingles (herpes zoster) is contagious, particularly to immunocompromised individuals. Sharing a room would place the client with Hodgkin’s disease at high risk for contracting a serious infection, which could lead to severe complications.
C. Community-acquired pneumonia: Pneumonia can be caused by bacteria or viruses and is transmissible through respiratory droplets. Placing an immunocompromised client with a person who has pneumonia increases the risk of infection, so it is not appropriate for room sharing.
D. Viral meningitis: Viral meningitis is contagious, and an immunocompromised client is highly susceptible to infection. Cohorting with a client who has viral meningitis would put the client with Hodgkin’s disease at significant risk for acquiring the illness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Insulin lispro: Lispro is a rapid-acting insulin that can be mixed with intermediate-acting insulins such as NPH in the same syringe. When mixing, lispro is drawn into the syringe first to maintain its rapid-acting properties and prevent contamination of the intermediate insulin.
B. Insulin aspart: Aspart is another rapid-acting insulin compatible with intermediate-acting insulins like NPH for mixing. Proper technique involves drawing the rapid-acting insulin first, ensuring stable blood glucose control while reducing the number of injections.
C. Regular insulin: Regular insulin is short-acting and can be mixed with NPH insulin. This combination allows for both immediate and intermediate glycemic control, making it convenient for clients requiring multiple insulin actions in a single injection.
D. Insulin glargine: Glargine is a long-acting insulin that forms microprecipitates in subcutaneous tissue for steady absorption. It cannot be mixed with other insulins because mixing alters its pharmacokinetics and can compromise its peakless effect.
E. Insulin detemir: Detemir is also a long-acting insulin and must be administered separately. Mixing it with other insulins can change absorption rates and efficacy, making it unsafe to combine in the same syringe.
Correct Answer is C
Explanation
A. Notify the primary care provider of the results: Notifying the provider is important for persistent hypoxemia, but the nurse should first ensure the reading is accurate. Immediate action should confirm whether the low saturation reflects true hypoxemia or a measurement error.
B. Document the finding in the medical record: Documentation is part of standard care, but it does not address the potential acute hypoxemia. Recording should occur after verifying the reading and initiating appropriate interventions if needed.
C. Repeat the test on another finger: Pulse oximeter readings can be affected by poor perfusion, nail polish, cold extremities, or device malfunction. Repeating the test on a different finger or site helps confirm the accuracy of the measurement before taking further clinical actions.
D. Consult the respiratory therapist: Referral to a respiratory therapist may be indicated if hypoxemia persists, but it is not the first action. The nurse must first verify the accuracy of the SpO2 reading to determine whether urgent intervention is necessary.
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