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

Instruct the client to eat cooked foods only.

Restrict visitors who have active infections.

Dispose of all linen in the trash after use.

Limit the client from bathing daily.

Don a mask, gloves, and gown.

Answer and Explanation

Correct Answer : A,B,E

Choice A reason:
Instructing the client to eat cooked foods only is a necessary precaution for immunosuppressed individuals. Cooking foods thoroughly can help eliminate harmful bacteria and other pathogens that could cause infection in a person with a weakened immune system.

Choice B reason:
Restricting visitors who have active infections is crucial in preventing the transmission of potentially harmful pathogens to the immunosuppressed client. Even minor infections in healthy individuals can be severe for someone with a compromised immune system.

Choice C reason:
Disposing of all linen in the trash after use is not a standard precaution for immunosuppressed clients. Used linens should be handled according to the healthcare facility's infection control policies, which often include laundering and not simply discarding in the trash.

Choice D reason:
Limiting the client from bathing daily is not a necessary precaution for immunosuppression. Maintaining good personal hygiene is important, and there is no need to restrict regular bathing unless there is a specific contraindication.

Choice E reason:
Donning a mask, gloves, and gown when caring for an immunosuppressed client can be part of standard precautions, especially if the client is in a protective environment or if the nurse is performing a procedure that has a high risk of contact with bodily fluids or if the client has a known infection.

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Correct Answer is B

Explanation

Choice A reason:
Placing the leg under a heat lamp every 3 hours is not recommended for the treatment of cellulitis. Heat lamps can cause burns and excessive drying of the skin, which may worsen the condition.

Choice B reason:
Wrapping a warm, wet towel around the affected area is a safe and effective way to apply heat therapy for cellulitis. It can help improve blood flow and relieve discomfort without the risk of burns associated with dry heat sources.

Choice C reason:
Using a heating pad directly on the skin, especially when lying down, can increase the risk of burns and is not recommended for treating cellulitis. Heating pads can provide uneven heat and may exacerbate swelling and inflammation.

Choice D reason:
Soaking the leg in water is not typically advised for cellulitis, especially if there are open wounds or breaks in the skin. Immersion in water can introduce new bacteria to the affected area and potentially worsen the infection.

A. Informatics B. Quality improvement C. Safety D. Evidence-based practice

Correct Answer is C

Explanation

Choice A reason:
Informatics involves the use of information technology in healthcare, which is essential for managing patient data and improving communication. However, while informatics supports various aspects of patient care, it is not the primary concern during the perioperative period. The focus during this time is on ensuring the client's immediate well-being and preventing harm.

Choice B reason:
Quality improvement is a continuous process of identifying and implementing changes to improve patient care and outcomes. While it is a critical component of nursing practice, the priority in the perioperative period is the safety of the client, which is a more immediate concern.

Choice C reason:
Safety is the most critical QSEN competency during the perioperative period. This period involves significant risks due to anesthesia, surgical procedures, and potential complications. Ensuring the client's safety by preventing errors, reducing the risk of harm, and maintaining a sterile environment is paramount.

Choice D reason:
Evidence-based practice involves using the best current evidence to make informed decisions about patient care. While it is crucial for guiding clinical practice, the immediate priority in the perioperative period is ensuring the client's safety through vigilant monitoring and intervention.

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A nurse is creating the plan of care for a client who is immunosuppressed. 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 providing teaching to a client who has a prescription for heat therapy for the treatment of cellulitis of the right lower leg. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse working in the perioperative area is reviewing the Quality and Safety Education in Nursing (QSEN) competencies. Which of the following competencies should the nurse identify as the priority when caring for a client during the perioperative period?

Correct Answer is C

Explanation

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