A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?

Soft-boiled eggs are an appropriate source of protein.

Bottled water is an appropriate choice to increase fluid intake

The salad bar is a healthy choice when dining out.

Eating at a buffet a good choice to increase caloric intake

Answer and Explanation

The Correct Answer is B

A. Soft-boiled eggs may pose a risk to individuals with neutropenia due to the potential for bacterial contamination (e.g., from undercooked eggs), which could lead to infection. It's generally safer to consume fully cooked eggs.
B. Bottled water is considered a safe choice for individuals with neutropenia because it is typically filtered and sealed, reducing the risk of bacterial contamination from tap water. Ensuring safe water intake is crucial for preventing infections in individuals with weakened immune systems.
C. Salad bars can be risky for individuals with neutropenia due to the potential for contaminated raw vegetables or improper food handling, which can lead to foodborne illnesses. Raw or unwashed vegetables may harbor harmful bacteria.
D. Buffets can be risky for individuals with neutropenia because the food may be left out at unsafe temperatures for extended periods, increasing the risk of contamination. Individuals with neutropenia should avoid foods from buffet-style setups.

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Correct Answer is A

Explanation

A. Hypoxia is common after surgery due to the effects of anesthesia and the client being in a supine position. A pulse oximetry reading of 88% indicates mild hypoxia. The first step in managing this is to encourage deep breathing or to have the patient use an incentive spirometer to improve ventilation and oxygenation. This is a non-invasive method that can help increase oxygen levels and prevent complications like atelectasis (lung collapse).

B. While opioid overdose can cause respiratory depression, there is no indication that the client is showing signs of opioid toxicity (e.g., unresponsiveness, slow/shallow breathing). The client is sleepy but easily arousable, suggesting that the sleepiness is related to the residual effects of anesthesia rather than opioid overdose. Administering naloxone is not indicated unless there are signs of severe respiratory depression or unresponsiveness, which is not the case here.

C. While postoperative hypothermia can occur, it is unlikely to cause oxygen saturation to drop to 88%. The priority action should be to improve the client's oxygenation first, as that is more immediately critical in this scenario.

D. The client's oxygen saturation of 88% is concerning, but it is manageable with initial interventions such as encouraging deep breathing. Calling a rapid response team would be appropriate if the patient's condition worsens or doesn't improve with initial interventions.

Correct Answer is ["66.7"]

Explanation

Step 1: Write down the formula
Rate (mL/hr) = Total Volume (mL) ÷ Time (hours)

Step 2: Plug in the values
Rate = 1600 mL ÷ 24 hr

Step 3: Calculate
Rate = 66.6667 mL/hr

Step 4: Round to the nearest tenth
Rate ≈ 66.7 mL/hr

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A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who had a bowel resection for colon cancer. The vital signs were stable during surgery. While in the post-anesthesia care unit (PACU) the client is sleepy, but awakens easily. The pulse ox is 88%. What would be the priority action by the nurse?

Correct Answer is A

Explanation

The nurse is preparing to administer 1600 mL of total parental nutrition (IPN) over 24 hours. The nurse should set the IV pump to deliver how many mL/hr? (Do not use trailing zeros, use a leading zero if it applies)

Correct Answer is ["66.7"]

Explanation

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