A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

Provide the client with fresh fruit to avoid constipation.

Insert an indwelling catheter to monitor sediment in the urine.

Take the client's temperature once per shift.

Limit the number of health care workers entering the room.

Answer and Explanation

The Correct Answer is D

This is because immunosuppression increases the risk of infection, and health care workers can be potential sources of pathogens. The nurse should use standard precautions, avoid invasive procedures, and restrict visitors who are ill.

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Correct Answer is B

Explanation

This is because sputum culture can identify the presence and type of mycobacteria that cause TB, while other tests can only indicate exposure or infection. Sputum culture results may take several weeks, so treatment should be initiated based on clinical suspicion and other tests.

A. Nucleic acid amplification test (NAAT) B. Sputum culture for acid-fast bacillus (AFB) C. Chest x-ray D. CT scan

Correct Answer is A

Explanation

This is because a NAAT can detect the presence of Mycobacterium tuberculosis DNA in a sputum sample within hours, which can confirm the diagnosis and guide treatment decisions. A sputum culture for AFB can take several weeks to yield results, while a chest x-ray or a CT scan can only show suggestive findings but not confirm the diagnosis.

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A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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