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

Which of the following actions should the nurse take?

Apply pressure to venipuncture sites for 10 min.

Move the client to a negative pressure room.

Instruct the client to avoid eating raw fruit.

Use contact isolation while providing care.

Answer and Explanation

The Correct Answer is C

Instruct the client to avoid eating raw fruit.
A low white blood cell count can be caused by cancer or cancer treatment and can increase the risk of infection.
One precaution that can be taken is to avoid all pre-cut fresh fruits and vegetables in delis, restaurants, and grocery stores.
Choice A Applying pressure to venipuncture sites for 10 min is not necessary for a low WBC count.
Choice B Moving the client to a negative pressure room is not necessary for a low WBC count.
Choice D Contact isolation while providing care is not necessary for a low WBC count.

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Correct Answer is C

Explanation

The statement “These crutches will make it possible to care for my child” indicates that the client is adapting to their role change by finding ways to continue fulfilling their responsibilities despite their injury.
Choice A is incorrect because it indicates that the client is concerned about not being able to fulfill their responsibilities.
Choice B is incorrect because it indicates that the client feels guilty about not being able to fulfill their responsibilities.
Choice D is incorrect because it indicates that the client is relying on someone else to fulfill their responsibilities.

A. Place a strip of pH paper onto the cul-de-sac of the affected eye. B. Administer proparacaine eye drops into the affected eye. C. Install 0.9% sodium chloride solution into the affected eye. D. Collect information about the irritant that caused the injury.

Correct Answer is D

Explanation

The first action the nurse should take is to collect information about the irritant that caused the injury.
This information is important because it can help determine the appropriate treatment and irrigation solution to use.
Choice A is incorrect because airborne precautions are used to prevent the spread of infectious diseases that are transmitted through the air, and are not necessary in this situation.
Choice B is incorrect because administering proparacaine eye drops into the affected eye is not the first action the nurse should take.
Proparacaine is a topical anesthetic that can be used to numb the eye before performing ocular irrigation, but it is not the first action the nurse should take.
Choice C is incorrect because installing 0.9% sodium chloride solution into the affected eye is not the first action the nurse should take; the nurse should first collect information about the irritant that caused the injury before performing ocular irrigation.

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

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

Which of the following actions should the nurse take?