A nurse is providing care to a client who is Immunocompromised. Which of the following should the nurse identify as a possible source of infection?

Waste containers are lined with single bags.

Dampened cloths are used for dusting the area.

Uncapped sharps are put in a puncture-resistant container.

Soiled linens are placed on the floor.

Answer and Explanation

The Correct Answer is D

A.   Lining waste containers with single bags is a proper infection control measure.
B.   Using dampened cloths for dusting can help prevent the spread of airborne particles.
C.   Using a puncture-resistant container for sharps is an appropriate action to prevent needlestick injuries.
D.   Correct. Placing soiled linens on the floor can lead to contamination of the environment and potential transmission of infection.

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Correct Answer is B

Explanation

A. Loose stools are not a typical finding related to external radiation for throat cancer.
B. Correct. Loss of taste (dysgeusia. is a common side effect of radiation therapy, particularly in the treatment area?
C. Bladder infection is not a typical finding related to external radiation for throat cancer.
D. Increased appetite is not a common finding related to radiation therapy; it's more commonly associated with certain medications or hormonal changes.

A. Apply the restraint under the client's clothes. B. Place the client in a sitting position. C. Tie the restraint to the railing of the client's bed. D. Ensure the restraint is placed across the client's chest.

Correct Answer is B

Explanation

A.Restraints should never be applied directly on the skin or under clothing, as this can cause irritation, pressure injuries, and make it difficult for the nurse to assess skin integrity. Restraints should be placed over the client's clothing to reduce friction and protect the skin.

B.Positioning the client in a sitting or semi-Fowler's position is preferred as it promotes comfort, minimizes the risk of aspiration, and allows the nurse to monitor the client's airway, breathing, and circulation more effectively. Lying flat can increase discomfort and respiratory difficulty, especially if the client is aggressive or agitated.

C.Restraints should never be tied to movable parts, like bed rails, as this could result in injury if the bed rail is moved up or down. Restraints should be tied to a non-movable part of the bed frame to ensure stability and prevent accidental tightening or loosening that could harm the client.

D.A belt restraint should be placed across the client’s waist or hips, not the chest, as a chest restraint can impede respiratory function, especially in an aggressive client who may be physically exerting themselves. The restraint should secure the client’s lower body to prevent them from standing or moving excessively, while still allowing safe breathing and circulation.

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A nurse is providing care to a client who is Immunocompromised. Which of the following should the nurse identify as a possible source of infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who has received external radiation for throat cancer. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is applying a belt restraint to a client who has become physically aggressive. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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