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 C

Explanation

This is because some influenza vaccines are prepared using chicken eggs and may contain trace amounts of egg protein, which can cause an allergic reaction in some people.

A. A crusted lesion with indurated margins. B. A small, translucent papule with rolled borders C. A multi-colored lesion with irregular borders D. A small macule with dry yellow scale

Correct Answer is B

Explanation

Basal cell carcinoma is the most common type of skin cancer and usually occurs on sun-exposed areas of the skin. It is slow-growing and rarely metastasizes. It appears as a small, translucent papule with rolled borders that may ulcerate and bleed.

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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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Explanation

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