A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?

The client is assigned to a room with negative airflow.

The client's meal tray includes ice cream with fresh fruit.

The client has artificial flowers in the room.

The client's meal tray contains hard-boiled eggs.

Answer and Explanation

The Correct Answer is B

A.   A room with negative airflow helps prevent the spread of airborne pathogens, which is helpful for immunocompromised clients like those with HIV, but it doesn't directly increase the risk of infection.
B.   Correct. Neutropenic clients have reduced immune responses, and consume fresh fruit (which might carry bacteria. can increase the risk of infection.
C.   Artificial flowers might be removed due to infection control concerns, but their presence doesn't significantly increase infection risk.
D.   Hardboiled eggs are not necessarily a high-risk food for infection in neutropenic clients.

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Correct Answer is C

Explanation

The client's symptoms of feeling dizzy, having a racing heart, and becoming pale while lying on their back may indicate supine hypotensive syndrome. This condition can occur during pregnancy when the weight of the uterus compresses the inferior vena cava, reducing blood flow to the heart and causing a drop in blood pressure.

Positioning the client on their left side helps relieve the pressure on the inferior vena cava and improves blood flow. This position allows for optimal circulation and helps alleviate the symptoms associated with supine hypotensive syndrome.

Checking the client's temperature is not necessary in this situation as the symptoms described are not typically associated with a fever. The priority is addressing the client's symptoms related to supine hypotensive syndrome.

Instructing the client to take a brisk walk is not recommended as it may exacerbate their symptoms. Walking increases physical exertion and could further decrease blood flow to the heart.

Providing the client with a glass of orange juice may be helpful if the symptoms were related to low blood sugar (hypoglycemia). However, in this case, the symptoms are more consistent with supine hypotensive syndrome. The priority is to reposition the client to improve blood flow and relieve symptoms. If the client continues to experience symptoms or if there are concerns about low blood sugar, further assessment and appropriate interventions should be implemented.

A. Take the medication with calcium fortified orange juice. B. Take the medication with an antacid. C. Take the medication with crackers. D. Take the medication and then lay down for 30 min.

Correct Answer is C

Explanation

A. Incorrect. Taking doxycycline with calcium-fortified orange juice can reduce the absorption of the medication, as calcium can interfere with its absorption.
B. Incorrect. Taking the medication with an antacid can also interfere with the absorption of doxycycline by reducing stomach acidity.
C. Correct. Taking the medication with crackers or a small snack can help alleviate nausea and vomiting that can occur with doxycycline.
D. Incorrect. Lying down after taking the medication may increase the risk of gastric upset and nausea.

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A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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