A nurse is performing discharge teaching with a client who has leukemia. Which of the following client statements indicates an understanding of the teaching?

"I can change my cat's litter box every day."

"I will avoid blowing my nose when I feel congested."

"I can continue gardening in my yard."

"I will clean my toothbrush with an alcohol-based mouthwash."

Answer and Explanation

The Correct Answer is B

A. "I can change my cat's litter box every day.": Clients with leukemia are immunocompromised and at increased risk for infections such as toxoplasmosis from cat feces. They should avoid changing litter boxes or use protective measures like gloves and masks, so this statement indicates a misunderstanding of infection prevention.

B. "I will avoid blowing my nose when I feel congested.": Avoiding forceful nose blowing helps prevent mucosal trauma and bleeding, which is important for clients with leukemia who may have thrombocytopenia or fragile mucous membranes. This statement demonstrates an understanding of precautions to reduce injury and infection risk.

C. "I can continue gardening in my yard.": Gardening exposes the client to soilborne pathogens and bacteria, increasing the risk of infection. Clients with leukemia should avoid activities that involve soil contact unless using strict protective measures, so this statement indicates a lack of understanding.

D. "I will clean my toothbrush with an alcohol-based mouthwash.": Cleaning a toothbrush with mouthwash is not sufficient to prevent microbial contamination. Clients with leukemia should use a soft-bristled toothbrush and replace it regularly to minimize infection risk. This statement reflects incomplete understanding of oral care precautions.

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Correct Answer is A

Explanation

A. Tachycardia: Amphetamines are central nervous system stimulants that increase sympathetic nervous system activity. Tachycardia is a common manifestation of acute toxicity, along with hypertension, hyperthermia, and agitation. Monitoring cardiovascular status is essential to prevent complications.

B. Headache: While headaches can occur with amphetamine use, they are not a primary or consistent finding in acute toxicity. More prominent signs are cardiovascular and neurological stimulation rather than mild symptoms like headache.

C. Increased appetite: Amphetamines typically suppress appetite rather than increase it. Clients experiencing acute toxicity are more likely to have decreased hunger due to stimulant effects on the hypothalamus.

D. Pupil constriction: Amphetamines usually cause mydriasis (pupil dilation) due to sympathetic stimulation. Pupil constriction is more characteristic of opioid toxicity rather than amphetamine toxicity.

A. "I will use a loud tone of voice when speaking with the client." B. "I will repeat words not heard by the client." C. "I will over articulate words when speaking." D. "I will get the client's attention before speaking."

Correct Answer is D

Explanation

A. "I will use a loud tone of voice when speaking with the client.": Using a loud voice is unnecessary and can be perceived as patronizing. Expressive aphasia affects the client’s ability to communicate verbally, not their hearing, so volume does not improve understanding.

B. "I will repeat words not heard by the client.": Repeating words is not effective for clients with expressive aphasia, as their difficulty is in expressing language, not in hearing or comprehension. Repetition does not address the communication barrier.

C. "I will over articulate words when speaking.": Over-articulation is not typically helpful and may confuse the client. Clear, simple language and appropriate pacing are more effective than exaggerating speech.

D. "I will get the client's attention before speaking.": This statement indicates understanding of effective communication strategies for expressive aphasia. Gaining the client’s attention helps ensure they are focused and ready to process language, facilitating better interaction and comprehension.

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A nurse is performing discharge teaching with a client who has leukemia. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is experiencing acute amphetamine toxicity. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A charge nurse is discussing communication techniques to use with a client who has expressive aphasia with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates the teaching was effective?

Correct Answer is D

Explanation

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