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?

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

"Change your pet's litter box daily."

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

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

Answer and Explanation

The Correct Answer is D

The client should wash their perineal area twice a day with antimicrobial soap to prevent infection and irritation. This is especially important for clients who have an impaired immune system due to chemotherapy, as they are more susceptible to infections and complications.

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Correct Answer is C

Explanation

Altered level of consciousness (LOC) is the earliest and most sensitive indicator of increased ICP, which can result from brain injury, tumor, hemorrhage, infection, or edema.

The nurse should monitor the client's LOC using the Glasgow Coma Scale (GCS) and report any changes or deterioration to the provider. Pupillary dilation, decorticate posturing, and Cheyne-Stokes respirations are later signs of increased ICP that indicate brainstem compression and herniation, which are life-threatening emergencies.

A. A B. B C. C D. D

Correct Answer is C

Explanation

Sinus bradycardia is a type of cardiac arrhythmia characterized by a heart rate lower than 60 beats per minute in adults, or below the normal range for age in children. It can be diagnosed by an electrocardiogram (ECG) that shows regular P waves with constant morphology preceding every QRS complex, and positive in lead II.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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