A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching?

"Wash your perineal area two times each day with antimicrobial soap."

"Change the water in your drinking glass every 4 hours."

"Wash your toothbrush in the dishwasher once each month."

"Change your pet's litter box daily."

Answer and Explanation

The Correct Answer is A

Choice A rationale: The perineal area should be washed with antimicrobial soap twice a day to prevent infections from bacteria or fungi that may be present in the genital or anal area.
Choice B rationale: Changing the water in the drinking glass every 4 hours is not a specific measure to prevent infection in an immunocompromised individual.
Choice C rationale: Washing the toothbrush in the dishwasher once a month may not be necessary, and more frequent cleaning may be advisable.
Choice D rationale: The pet's litter box should not be changed by the client, but by someone else who wears gloves and a mask. The litter box can contain fecal matter that may contain parasites or bacteria that can infect the client.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale: Administering PRN pain medication may be necessary, but assessing the cause of the pain is the priority.
Choice B rationale: Checking the client's urine output is the first action to assess for possible complications, such as clot retention or obstruction, which could cause lower abdominal pain.
Choice C rationale: Repositioning the client in bed may be considered after assessing urine output, depending on the findings.
Choice D rationale: Monitoring fluid intake is important but is not the immediate action needed to address the reported pain.

A. The client has a prescription for long-term IV antibiotic therapy. B. The client has type 2 diabetes mellitus and a HbA1c of 6%. C. The client has a prescription for furosemide. D. The client has a WBC count of 20,000/mm3.

Correct Answer is D

Explanation

Choice A rationale: Having a prescription for long-term IV antibiotic therapy is expected for treating osteomyelitis and does not necessarily require a referral.
Choice B rationale: A HbA1c of 6% for a client with type 2 diabetes mellitus is within the target range, and the nurse can address diabetes management without an immediate referral.
Choice C rationale: A prescription for furosemide, a diuretic, is not directly related to the management of osteomyelitis and does not require a referral.
Choice D rationale: A WBC count of 20,000/mm3 suggests an elevated white blood cell count, which may indicate an ongoing infection. This finding requires further evaluation and possible intervention, making a referral necessary.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The client reports sharp lower abdominal pain. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is providing discharge teaching for a client who has osteomyelitis in the left leg. Which of the following findings should the nurse identify as requiring a referral?

Correct Answer is D

Explanation

A nurse is assessing a client who has acute pancreatitis and has been receiving total parenteral nutrition for the past 72 hr. Which of the following findings requires the nurse to intervene?

A nurse is caring for a client who understands a prescribed surgical procedure, but cannot read or write. Which of the following actions should the nurse take?

A nurse is preparing to assist the provider with a thoracentesis for a client who has a left pleural effusion. Which of the following interventions is the priority for the nurse?

A nurse is preparing to assist with the insertion of a non-tunneled central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take?

A nurse is assessing a client who is receiving valsartan to treat heart failure. Which of the following findings should the nurse identify as an Indication that the medication is effective?

A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?

A nurse is setting up a sterile field before performing a dressing change on a client who is postoperative. Which of the following actions should the nurse plan to take to maintain the sterile field? (Select all that apply.)