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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Hair growth in the pubic area begins before breast development.": In females, breast development (thelarche) typically precedes pubic hair growth (pubarche). This statement is inaccurate and does not reflect the normal sequence of pubertal changes.
B. "Puberty begins with a female's first menstrual cycle.": Menarche occurs later in puberty, usually around Tanner stage 3–4, and is not the initial sign of pubertal development. Puberty begins with the onset of breast development and other secondary sexual characteristics.
C. "Females will stop growing by the age of 14.": Growth in females continues for several years after the onset of puberty, often until 16–18 years of age, depending on the timing of menarche and individual growth patterns. Stating age 14 is inaccurate.
D. "Females begin puberty about 2 years earlier than males.": This statement is accurate. On average, females begin puberty between ages 8–13, while males typically start between ages 10–15, reflecting the earlier onset of secondary sexual characteristics in females.
Correct Answer is ["1.5"]
Explanation
Calculation:
- Identify the ordered dose and available concentration
Ordered Dose: 30 mg
Available Concentration: 100 mg/5 mL
- Calculate the volume to administer
Volume to administer = (Ordered Dose ÷ Concentration) × Volume of Concentration
Volume to administer = (30 ÷ 100) × 5
Volume to administer = 0.3 × 5
Volume to administer = 1.5 mL
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