A nurse is caring for a client.
Complete the following sentence by using the list of options
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Infection (Option 1): The patient's WBC count has decreased from 8,000/mm³ (normal range) to 4,000/mm³ (below normal), indicating leukopenia. This puts the client at increased risk for infections, especially since they are undergoing chemotherapy, which can further suppress the immune system.
WBC count (Option 2): The decreased WBC count is a direct indicator of the risk for infection, as a low white blood cell count reduces the body’s ability to fight off infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Providing finger foods can enhance the client’s ability to feed themselves and may encourage eating, especially for clients with dementia who may have difficulty using utensils or concentrating on traditional meals. This approach promotes independence and can make meals more enjoyable and less stressful.
B. While reducing distractions can be helpful, completely restricting visitors might increase feelings of isolation and may not significantly impact food intake. A supportive social environment can enhance the meal experience.
C. Limiting snacks between meals can decrease overall caloric intake, which is counterproductive for a client at risk for malnutrition. Allowing healthy snacks can help maintain energy levels and supplement nutritional needs.
D. Providing three large meals may overwhelm a client with dementia, as they might struggle with portion sizes and meal structure. Smaller, more frequent meals can be more effective in encouraging intake and ensuring that the client receives adequate nutrition.
Correct Answer is B
Explanation
A. Documenting self-care instruction is vague and lacks specificity on the client's physical status postpartum.
B. Documenting the status of the episiotomy provides essential information regarding healing and recovery, a priority in postpartum care.
C. Tracking fluid intake may be relevant for hydration status but is less critical than documenting the episiotomy for postpartum assessment.
D. Although an elevated temperature may indicate infection, it would be secondary to recording the condition of an episiotomy, which directly relates to postpartum recovery and potential complications.
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