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A nurse is creating a plan of care for an immunosuppressed client. Which of the following precautions should the nurse include in the plan? (Select All that Apply.)

Dispose all linen in trash after use

Don a mask, gloves, and gown

Restrict visitors who have active infections

Instruct the client to eat cooked foods only

Limit the client from bathing daily

Answer and Explanation

Correct Answer : B,C,D

A. Used linens do not need to be disposed of in the trash but should be laundered to prevent contamination.

B. Wearing a mask, gloves, and gown helps protect immunosuppressed clients from potential infections.

C. Restricting visitors who have active infections prevents the spread of infections to the client.

D. Instructing the client to eat only cooked foods reduces the risk of foodborne infections.

E. Limiting bathing is not necessary; in fact, good hygiene practices are essential to prevent infections.

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Correct Answer is D

Explanation

A. Restlessness may indicate incomplete recovery or inadequate sedation reversal.

B. A brisk response to stimulus suggests the client is still in a mildly sedated state and not fully recovered.

C. A sluggish response to stimulus also indicates the client is not yet fully alert and oriented.

D. The client being cooperative and oriented is an indication of full consciousness and recovery from sedation, meeting discharge criteria.

Correct Answer is ["1733"]

Explanation

To calculate the infusion rate for the first 8 hours, you would take the total volume prescribed for the first 24 hours and divide it by 3, since 8 hours is one-third of 24 hours. So, 5,200 mL divided by 3 equals approximately 1,733.33 mL. Rounding this to the nearest whole number, the nurse should set the pump to infuse at a rate of 1,733 mL per hour for the first 8 hours.

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A nurse is creating a plan of care for an immunosuppressed client. Which of the following precautions should the nurse include in the plan? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who received IV conscious sedation for a colonoscopy. Which of the following findings indicated that the client is ready for discharge?

Correct Answer is D

Explanation

Correct Answer is ["1733"]

Explanation

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