A nurse is providing care for a client who is receiving chemotherapy. Which of the following actions should the nurse take?

Wear gloves when handling the client's bed linens

Flush the client's urine down the toilet twice

Dispose of the client's intravenous tubing in a regular trash can

Wash the client's dishes with hot water and soap

Answer and Explanation

The Correct Answer is B

Choice A reason: Wearing gloves when handling the client's bed linens is an incorrect action, as it is not enough to protect the nurse from exposure to the chemotherapy agents. The nurse should wear gloves, gown, and mask when handling any body fluids or items contaminated with body fluids from the client.

Choice B reason: Flushing the client's urine down the toilet twice is a correct action, as it helps to prevent contamination of the environment and other people with the chemotherapy agents. The nurse should also instruct the client and the family to do the same for 48 hours after the chemotherapy administration.

Choice C reason: Disposing of the client's intravenous tubing in a regular trash can is an incorrect action, as it poses a risk of exposure to the chemotherapy agents for the nurse and other staff. The nurse should dispose of the client's intravenous tubing in a biohazard container that is labeled as chemotherapy waste.

Choice D reason: Washing the client's dishes with hot water and soap is an incorrect action, as it is not sufficient to remove the chemotherapy agents from the dishes. The nurse should use disposable dishes and utensils for the client, or wash them separately with bleach and water.

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Correct Answer is B

Explanation

Choice A reason: Purchasing primary tubing for IV therapy is not a cost-effective client care task, as it involves spending money on supplies that may not be necessary or appropriate for every client. The nurse should recommend using secondary tubing or changing the primary tubing according to the facility's policy and the client's condition.

Choice B reason: Implementing a fall prevention program is a cost-effective client care task, as it can prevent injuries, complications, and lawsuits that can result from client falls. The nurse should recommend using evidence-based strategies, such as assessing the client's fall risk, providing appropriate supervision and assistance, and using safety devices and alarms.

Choice C reason: Providing staff education on infection control is not a cost-effective client care task, as it involves investing time and resources on training that may not have a direct impact on the client's outcomes. The nurse should recommend following the standard precautions and the facility's protocol for infection prevention and control.

Choice D reason: Hiring a wound care specialist is not a cost-effective client care task, as it involves paying for an additional staff member who may not be needed or utilized for every client. The nurse should recommend providing wound care according to the provider's orders and the facility's guidelines, and consulting a wound care specialist only when necessary.

A. A client who has a compromised airway B. A client who has major burns covering 70% of their body C. A client who experienced a brief loss of consciousness D. A client who has fixed pupils

Correct Answer is A

Explanation

Choice A reason: A client who has a compromised airway is in immediate danger of death and requires urgent attention. A red tag indicates that the client has a life-threatening condition and needs the highest priority of care.

Choice B reason: A client who has major burns covering 70% of their body is in critical condition and needs intensive care. However, they are not as urgent as a client who has a compromised airway. A yellow tag indicates that the client has a serious condition and needs the second highest priority of care.

Choice C reason: A client who experienced a brief loss of consciousness may have a concussion or a head injury, but they are not in immediate danger of death. A green tag indicates that the client has a minor condition and needs the lowest priority of care.

Choice D reason: A client who has fixed pupils is likely dead or near death and has no chance of survival. A black tag indicates that the client is deceased or expectant and needs no care.

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A nurse is providing care for a client who is receiving chemotherapy. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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