A nurse is caring for a client who has multiple myeloma and has a WBC count of 2,200/mm3. Which of the following food items brought by the family should the nurse prohibit from being given to the client?
Baked chicken
Bagels
A factory-sealed box of chocolates
Fresh fruit basket
The Correct Answer is D
A. Baked chicken: Baked chicken, if cooked thoroughly, is generally safe for a client with neutropenia (low WBC count) as it does not pose a high risk for infection.
B. Bagels: Bagels, if they are from a safe, uncontaminated source, are generally considered safe for neutropenic clients.
C. A factory-sealed box of chocolates: Factory-sealed chocolates are usually safe as they are unlikely to be contaminated.
D. Fresh fruit basket: Fresh fruits can carry bacteria, especially on the skin or peel, and pose a risk of infection for a client with neutropenia. Therefore, this is the item that should be prohibited.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Psychopharmacology: Psychopharmacology involves the use of medications to treat mental health disorders. It does not focus on altering irrational thinking, which is more relevant to therapy techniques.
B. Desensitization: Desensitization, or systematic desensitization, is a technique used to reduce anxiety by gradually exposing the client to the anxiety-provoking stimulus. It is not specifically aimed at altering irrational thinking.
C. Changing Therapy: The term "Changing Therapy" is not a standard therapy technique. It is not a recognized method for altering irrational thinking.
D. Cognitive Behavioral Therapy (CBT): CBT is specifically designed to help clients identify and alter irrational or distorted thinking patterns. It focuses on changing maladaptive thought processes and behaviors.
Correct Answer is B
Explanation
A. Generalized anxiety disorder: Generalized anxiety disorder involves persistent and excessive worry, but it does not typically present with the specific symptoms of nightmares and flashbacks related to trauma.
B. Posttraumatic stress disorder: PTSD is characterized by symptoms such as nightmares, flashbacks, and difficulty sleeping, especially following exposure to traumatic events. This fits the soldier’s presentation.
C. Obsessive-compulsive disorder: OCD involves recurrent, intrusive thoughts (obsessions) and/or repetitive behaviors (compulsions). The symptoms described do not align with OCD but rather with trauma-related symptoms.
D. Social phobia: Social phobia involves intense fear of social situations, not the trauma-related symptoms described. It is less relevant to the soldier’s experience of nightmares and flashbacks.
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