A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm3.

Which of the following actions should the nurse take?

Instruct the client to avoid eating raw fruit.

Apply pressure to venipuncture sites for 10 min.

Move the client to a negative pressure room.

Use contact isolation while providing care to the patient.

Answer and Explanation

The Correct Answer is A

Choice A rationale: A client who has bladder cancer and a low WBC count is at risk for infection due to impaired immunity. Raw fruit can harbor bacteria and fungi that can cause infections in the client.
Choice B rationale: Applying pressure to venipuncture sites for 10 min is not necessary for a low WBC count and is not related to bladder cancer.
Choice C rationale: Moving the client to a negative pressure room is not necessary for a low WBC count related to bladder cancer. It is used for clients who have airborne infections, such as tuberculosis or chickenpox, to prevent the spread of pathogens to other clients and staff.
Choice D rationale: This is not a correct answer because contact isolation is used for clients who have infections that can be transmitted by direct or indirect contact, such as Clostridium difficile or scabies.

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Correct Answer is D

Explanation

Choice A rationale: Cleansing the site with a hydrogen peroxide solution is not recommended, as it can cause tissue irritation.
Choice B rationale: the correct position of the line is confirmed by a chest x-ray, not by a blood sample.
Choice C rationale: Instructing the client to cough is not necessary and may not be helpful during the insertion of a central venous catheter.
Choice D rationale: This is done to prevent air embolism, which can occur when air enters the bloodstream through the catheter insertion site. Air embolism can cause cardiac arrest, stroke, or respiratory failure.

A. "I can use baking soda when I bake." B. "I should use canned instead of frozen vegetables." C. "I should use salt sparingly while cooking." D. “I can season my foods with lemon juice."

Correct Answer is C

Explanation

Choice A rationale: Using baking soda would increase the client's sodium intake and is not recommended for a low-sodium diet.
Choice B rationale: Canned vegetables often contain added salt, so choosing frozen vegetables is a better option for reducing sodium intake.
Choice C rationale: "I should use salt sparingly while cooking" indicates an understanding of the need to reduce sodium intake, which is essential for managing heart failure.
Choice D rationale: Lemon juice can add flavor without adding sodium, but it does not address the overall need to reduce sodium intake.

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A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm3. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

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A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm3.

Which of the following actions should the nurse take?