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 B
Explanation
A. client's anxiety level decreased: While reducing anxiety is important, it is not the initial priority when a client is experiencing physical pain that is affecting their ability to engage in the assessment.
B. client's pain level decreased: The initial desired outcome is to address the client's immediate physical pain. Once the pain is managed, the client will likely be better able to participate in the assessment and respond to questions about their mental health.
C. assessment completed: Completing the assessment is important, but it should not be prioritized over managing the client's immediate physical pain, which is currently hindering their ability to participate.
D. client understood the importance of the assessment: The client’s understanding of the assessment’s importance is less critical than addressing their immediate physical discomfort, which is a more pressing concern in this scenario.
Correct Answer is B
Explanation
A. Increasing forgetfulness and confusion: These symptoms are more characteristic of Alzheimer's disease or other types of dementia, not Parkinson's disease. While cognitive decline can occur in later stages of PD, it is not typically an initial symptom.
B. Tremors and muscle rigidity: Tremors (often starting in one hand) and muscle rigidity are hallmark initial symptoms of Parkinson's disease. These motor symptoms are among the most common early manifestations.
C. Visual disturbances and muscle weakness: Visual disturbances are not typically associated with early Parkinson's disease, and muscle weakness is not an initial symptom but could occur later due to rigidity and bradykinesia.
D. Fatigue and respiratory difficulties: While fatigue can occur, respiratory difficulties are not typically initial symptoms of Parkinson's disease and are more associated with later stages or other conditions.
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