A nurse is educating a client who has chemotherapy-induced peripheral neuropathy. Which of the following information should the nurse include in the teaching?

Wear gloves when washing dishes.

Wear shoes that are loose fitting.

Inspect feet for redness weekly.

Eat foods that are low in fiber.

Answer and Explanation

The Correct Answer is A

Choice A reason: Wearing gloves when washing dishes is the correct answer because peripheral neuropathy causes decreased sensation in the hands, increasing the risk of burns or injury from hot water or sharp objects. Gloves provide protection and reduce exposure to extreme temperatures, thereby preventing injury.

Choice B reason: Loose-fitting shoes can increase the risk of falls and foot injuries because they do not provide adequate support or protection. Clients with neuropathy require well-fitting shoes to prevent trauma and pressure injuries.

Choice C reason: Inspecting feet weekly is insufficient. Clients with neuropathy should inspect their feet daily due to the high risk of unnoticed injuries, infections, or ulcers. Weekly inspection delays detection and treatment of complications.

Choice D reason: Eating foods low in fiber is inappropriate. Fiber is important for maintaining gastrointestinal health, especially since chemotherapy can cause constipation. A low-fiber diet would worsen bowel issues rather than help neuropathy.

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Correct Answer is B

Explanation

Choice A reason: "SQ q AM and q HS" is incorrect because it specifies morning and bedtime administration rather than every 12 hours. This could lead to dosing errors.

Choice B reason: "Enoxaparin 30 mg subcut every 12 hr" is the correct documentation. It uses standard terminology, specifies the correct dose, route, and frequency, and avoids abbreviations that could be misinterpreted.

Choice C reason: "30 mcg" is incorrect because it changes the dosage from milligrams to micrograms, which is a thousand-fold difference. This would result in a dangerous underdose.

Choice D reason: "sub q every AM and HS" is incorrect because it specifies administration twice daily at morning and bedtime rather than strictly every 12 hours. This could cause uneven dosing intervals.

A. Remove gloves before leaving the client’s room B. Place the client in a negative pressure room C. Use an alcohol-based hand rub following client care D. Wear a face shield prior to entering the room

Correct Answer is D

Explanation

Choice A reason: Removing gloves before leaving the client’s room is incorrect because gloves should be removed inside the room, followed by proper hand hygiene. This prevents contamination of the environment outside the room.

Choice B reason: Placing the client in a negative pressure room is used for airborne infections such as tuberculosis, not for C. difficile. C. difficile requires contact precautions, not airborne isolation.

Choice C reason: Using an alcohol-based hand rub is ineffective against C. difficile spores. Handwashing with soap and water is required to physically remove spores from the hands.

Choice D reason: Wearing a face shield prior to entering the room is correct because C. difficile can spread via contact with contaminated surfaces and body fluids. A face shield protects against splashes during care, and combined with gloves and gowns, it ensures proper contact precautions.

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A nurse is educating a client who has chemotherapy-induced peripheral neuropathy. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

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