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 has artificial flowers in the room.

The client is assigned to a room with negative airflow.

The client's meal tray contains hard boiled eggs

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

Answer and Explanation

The Correct Answer is D

Correct answer: D

a. Artificial flowers are generally considered safer than fresh flowers because they do not harbor water, which can be a source of bacterial growth. However, they can collect dust, which might carry pathogens, though this is typically a lesser concern compared to fresh flowers.

b. Being assigned to a room with negative airflow is actually beneficial for a client with an immunocompromised condition, as it helps prevent the spread of airborne pathogens.

c. Hard boiled eggs do not inherently increase the risk of infection. However, it is important to ensure that all food items are properly prepared, handled, and stored to minimize the risk of foodborne illnesses.

d. Fresh fruit can harbor bacteria and other pathogens on their surfaces, which can pose a significant risk to a neutropenic patient. Even with thorough washing, there is a higher risk compared to cooked or pasteurized foods.

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Correct Answer is A

Explanation

A.Giving change-of-shift report to a nurse outside the client's room ensures that client information is shared in a private, secure setting, reducing the risk of unauthorized individuals overhearing sensitive information.

B.While sharing information with staff involved in the client's care is generally acceptable, discussing detailed prognosis with assistive personnel (who may not have a need-to-know role) is inappropriate. Confidential information should only be shared with those directly involved in the patient's care as part of the care team.

C.This is a clear violation of confidentiality, as it exposes the client's private health information to anyone who may access the room.

D.This is a breach of confidentiality, as the information could be accessed by unauthorized individuals. The appropriate way to dispose of confidential information is to shred it or return it to the medical record.

A. Do not include your child when making decisions about treatment. B. Ensure that your child does not receive the influenza vaccine annually. C. Have your child wear a medical identification wristband. D. Provide homeschooling for your child.

Correct Answer is C

Explanation

Wearing a medical identification wristband is important for children with chronic conditions such as cystic fibrosis. It helps alert others, including healthcare providers, about the child's condition in case of emergencies. The wristband can provide vital information about the child's diagnosis, treatment needs, and emergency contacts, ensuring appropriate care and timely interventions.

The other options mentioned are not appropriate or necessary for the care of a child with cystic fibrosis:

A- It is important to involve the child to an age-appropriate extent in decision-making about their treatment. Encouraging the child to participate in their own care and treatment decisions can promote their independence and self-management skills.

B- The influenza vaccine is generally recommended for children with cystic fibrosis, as they are at increased risk of respiratory infections. The vaccine helps protect against influenza and its potential complications. Therefore, the nurse should emphasize the importance of annual influenza vaccination for the child.

D- Homeschooling may not be necessary solely based on the diagnosis of cystic fibrosis. The decision regarding the child's education should be made based on their individual needs, abilities, and preferences, in consultation with the child's healthcare team and educational professionals.

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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

A nurse is reviewing client confidentiality with other staff members. The nurse should identify that which of the following actions is an example of protecting client confidentiality?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with the guardians of a 6-year-old child who has cystic fibrosis. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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