A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant.
Which of the following information should the nurse include?
"Your visitors will need to wear protective gowns."
"You will be placed in a semi-private room."
"You will need to wear a mask when outside of your room."
"You will be in a negative-airflow room to keep the air cleaner.".
The Correct Answer is C
The correct answer is choice c. “You will need to wear a mask when outside of your room.”
Choice A rationale:
Visitors wearing protective gowns is important to prevent infection, but it is not the primary teaching point for the patient themselves.
Choice B rationale:
Patients undergoing allogeneic stem cell transplants are typically placed in private rooms to minimize the risk of infection, not semi-private rooms.
Choice C rationale:
Wearing a mask when outside the room is crucial for the patient to protect themselves from infections due to their compromised immune system during the transplant process.
Choice D rationale:
Negative-airflow rooms are used to prevent the spread of airborne infections from the patient to others, not necessarily to keep the air cleaner for the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This statement indicates that the nurse should properly position the fracture bedpan to facilitate its use.
The shallow end of the fracture bedpan should be placed under the client’s buttocks to provide support and comfort.
Choice B is wrong because hyperextending the client’s back can cause discomfort and may not facilitate the use of the fracture bedpan.
Choice C is wrong because it is not necessary for the client to try to defecate for 20 minutes while on the fracture bedpan.
Choice D is wrong because keeping the bed flat may not provide the most comfortable position for the client while using the fracture bedpan.
Correct Answer is ["C","D"]
Explanation
The correct answers are:
- c."I need to have a fire escape plan with my family."
- d."I will use the grab bars when getting in and out of the bathtub."
Rationale for each choice:
Choice c:
Having a fire escape plan is crucial for home safety. It ensures that all family members know what to do in the event of a fire, which can save valuable time and lives. Here's a detailed explanation of why a fire escape plan is essential:
- Early Escape:A plan promotes quick evacuation,as everyone understands the escape routes and procedures.
- Reduced Panic:Knowing what to do in a crisis minimizes panic and confusion,allowing for calmer and more efficient actions.
- Accountability:The plan ensures that no one is left behind,especially children,older adults,or individuals with disabilities.
- Firefighter Assistance:It provides vital information to firefighters,aiding their rescue efforts.
- Regular Practice:Regularly practicing the plan familiarizes everyone with their roles and actions,ensuring smoother execution in a real fire.
Choice d:
Grab bars provide stability and support, reducing the risk of falls in bathrooms. Falls are a major safety hazard, especially for older adults, and can lead to serious injuries. Grab bars offer several benefits, including:
- Entering and Exiting:They facilitate safe entry and exit from the bathtub or shower,especially on slippery surfaces.
- Balance Support:They provide support when standing,reducing the likelihood of losing balance.
- Transfer Assistance:They assist individuals with mobility impairments in safely transferring between the bathtub,shower,or toilet.
- Confidence Boost:They offer a sense of security,allowing individuals to feel more confident and independent in the bathroom.
Rationale for incorrect choices:
Choice a:
Setting a hot water heater to 140 degrees Fahrenheit is unsafe. It can cause scalding burns within seconds, especially for children and older adults. The recommended temperature is 120 degrees Fahrenheit to balance safety and energy efficiency.
Choice b:
Taping over frayed electrical cords is a temporary and hazardous fix. It does not address the underlying issue of damaged wiring, which can lead to electrical shocks, fires, or electrocution. Frayed cords should be replaced immediately with new, undamaged ones.
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