A nurse is providing care to a group of patients with chronic illnesses.
Who among the following patients should the nurse identify as being at the highest risk for sepsis?
The patient with polycystic ovarian syndrome.
The patient with cancer.
The patient with Kallmann’s syndrome.
The patient with Addison’s disease.
The Correct Answer is B
Choice A rationale
Polycystic ovarian syndrome is a hormonal disorder common among women of reproductive age. While it can lead to several complications, it does not significantly increase the risk of sepsis.
Choice B rationale
Cancer and certain treatments for cancer can weaken the immune system, increasing the risk of infections that could lead to sepsis.
Choice C rationale
Kallmann’s syndrome is a genetic condition that affects the production of a hormone involved in sexual development. It does not significantly increase the risk of sepsis.
Choice D rationale
Addison’s disease affects the adrenal glands and can disrupt the balance of hormones in the body, but it does not significantly increase the risk of sepsis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While it’s important to communicate any concerns to the primary care provider, this response does not provide immediate reassurance or information to the mother about her newborn’s crossed eyes.
Choice B rationale
This is the most therapeutic response. It provides factual information that can reassure the mother. Newborns often lack the muscle control to regulate eye movement, which can result in temporary crossing of the eyes.
Choice C rationale
Taking the baby to the nursery for further examination may cause unnecessary worry for the mother. It’s better to provide reassurance and education first.
Choice D rationale
This response may cause unnecessary worry for the mother. Strabismus, or constant misalignment of the eyes, is not typically seen in newborns and would require treatment. However, temporary crossing of the eyes due to lack of muscle control is normal. Propranolol Propranolol Explore
Correct Answer is B
Explanation
Choice A rationale
Sliced ham with green salad might not be the best choice for a patient with diverticulitis. Ham is a processed meat, which is generally high in fat and can be difficult to digest, potentially irritating the digestive tract. Moreover, a green salad, while generally healthy, can be high in fiber, especially if it includes raw vegetables. During a diverticulitis flare-up, a low-fiber diet is recommended.
Choice B rationale
Grilled chicken breast with white rice is an excellent choice for a patient with diverticulitis. Chicken is a lean protein that is easy to digest. White rice is a low-fiber carbohydrate that is
also easy on the digestive system. This meal is consistent with the dietary recommendations for diverticulitis during the recovery phase, which includes low-fiber foods.
Choice C rationale
A turkey sandwich with celery sticks might not be suitable for a patient with diverticulitis. While turkey is a lean protein, celery sticks are high in fiber and can be difficult to digest, potentially irritating the digestive tract.
Choice D rationale
Pork tenderloin with green peas might not be the best choice for a patient with diverticulitis. Although pork tenderloin is a lean meat, green peas are high in fiber and can be difficult to digest, potentially irritating the digestive tract.
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