A nurse is caring for an immunocompromised client on chemotherapy. The family would like to visit. What teaching should the nurse provide to the family regarding protective isolation?
Visitors may bring a fruit basket to increase client's nutrition.
Visitors should be taught to refrain from bringing flowers.
A sick family member can visit as long as they wear a surgical mask.
All visitors must complete hand washing and wear an N95 mask.
The Correct Answer is B
A reason:
Visitors may bring a fruit basket is incorrect. Fresh fruit can carry bacteria and should be avoided.
B reason:
Refraining from bringing flowers is correct. Flowers can carry bacteria and fungi, posing a risk to immunocompromised clients.
C reason:
A sick family member visiting, even with a mask, is incorrect. Sick visitors should avoid contact with immunocompromised clients to prevent infection.
D reason:
All visitors must complete hand washing, but wearing an N95 mask is not necessary unless specifically required. Standard masks are typically sufficient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A reason:
BUN (blood urea nitrogen) is primarily used to assess kidney function and hydration status. It is not a direct indicator of infection.
B reason:
RBC (red blood cell) count measures the number of red blood cells and is used to assess anemia and other blood disorders. It does not indicate infection.
C reason:
WBC (white blood cell) count is correct. An elevated WBC count is a common indicator of infection, as white blood cells are part of the body's immune response to fight off pathogens.
D reason:
Potassium levels are related to electrolyte balance and are not directly indicative of infection.
Correct Answer is C
Explanation
A reason:
Contact precautions are used to prevent the spread of infections that are transmitted by direct or indirect contact with the patient or the patient's environment. These precautions are not specific to the needs of a client with a stem-cell transplant, who is more susceptible to infections due to a weakened immune system.
B reason:
Airborne precautions are used for infections that can be spread through the air over long distances, such as tuberculosis, measles, and chickenpox. This is not the primary concern for a client with a stem-cell transplant.
C reason:
Neutropenic precautions are correct. These are specific infection-control measures used to protect immunocompromised patients, such as those who have undergone an allogeneic hematopoietic stem-cell transplant. These precautions include measures to prevent infection from external sources because the patient’s immune system is significantly weakened.
D reason:
Droplet precautions are used to prevent the spread of infections that are transmitted through large respiratory droplets, such as influenza or meningitis. While important, these precautions are not tailored to the specific needs of a stem-cell transplant patient, who requires more stringent infection prevention measures.
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