A nurse is creating a plan of care for a client who has cancer and is experiencing Immunosuppression. Which of the following Interventions should the nurse include in the plan of care?

Monitor the client's vital signs every 12 hr.

Inspect the client's mouth every 8 hr.

Provide fresh fruit with the client's meals.

Rotate health care staff caring for the client.

Answer and Explanation

The Correct Answer is B

A.   Monitoring vital signs every 12 hours is a standard nursing intervention but may not specifically address the needs of a client with immunosuppression.
B.   Inspecting the client's mouth every 8 hours can help in early detection of mouth sores or infections, which are common in immunosuppressed individuals.
C.   Providing fresh fruit with meals may not be appropriate for a client with immunosuppression, as fresh fruits can harbor pathogens that pose a risk of infection.
D.   Rotating healthcare staff caring for the client helps increases the risk of introducing pathogens to the client. This increases the risk of infection in the immunosuppressed client.

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Correct Answer is C

Explanation

A: Directing anyone who becomes angry to leave the room may escalate tensions and hinder resolution.
B: Establishing demands from each party can create a confrontational atmosphere where parties are more focused on winning than resolving the conflict.
C: In resolving staff conflicts, facilitating discussion until all parties agree is a constructive strategy that promotes understanding and collaboration. This approach encourages open communication, allows for the expression of different viewpoints, and works towards a consensus that respects everyone's needs and concerns.

D: Determining fault can increase defensiveness and hinder collaboration in resolving the conflict. It is counterproductive as it places blame, which can lead to defensiveness and hinder the resolution process.

A. "Do you need information on hospice care?" B. "Would you like to talk to a counselor about advance directives?" C. "Would you like to speak to a spiritual advisor?" D. "Do you need a prescription for an antianxiety medication?"

Correct Answer is C

Explanation

A. While hospice care may be appropriate for the client, it does not directly address the client's reported depression.
B. Discussing advance directives is important for end-of-life care planning, but it may not address the client's current emotional needs.
C. Offering spiritual support acknowledges the client's emotional distress and provides an opportunity for comfort and guidance that aligns with the client's values and beliefs.
D. Offering medication without further assessment or exploration of the client's feelings may not be the most therapeutic response to the reported depression.

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A nurse is creating a plan of care for a client who has cancer and is experiencing Immunosuppression. Which of the following Interventions should the nurse include in the plan of care?

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