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A nurse is providing teaching to a client who has neutropenia about preventing foodborne illness. Which of the following instructions should the nurse include?

"Thaw frozen foods at room temperature before cooking."

"Reduce your intake of calcium-containing foods."

"Cook raw fish and steak to the well-done stage."

"Cut damaged areas from fruits and vegetables before consuming."

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Thawing frozen foods at room temperature can promote bacterial growth, increasing the risk of foodborne illness.

Choice B rationale:

There is no need for the client to reduce their intake of calcium-containing foods specifically to prevent foodborne illness. Calcium-containing foods are not associated with an increased risk of bacterial contamination.

Choice C rationale:

Cooking raw fish and steak to the well-done stage is recommended to kill harmful bacteria and reduce the risk of foodborne illness, which is particularly important for individuals with neutropenia who are more susceptible to infections.

Choice D rationale:

Cutting damaged areas from fruits and vegetables is a good practice to reduce the risk of contamination, but it does not address the risk of bacterial contamination from undercooked meat and fish.

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Correct Answer is D

Explanation

Choice A rationale:

Establishing a therapeutic relationship is important, but the immediate priority is to ensure the safety of the client by maintaining constant observation.

Choice B rationale:

Instructing the client on stress management techniques is important, but safety comes first.

Choice C rationale:

Having the client sign a no-suicide contract may provide some reassurance, but it is not a substitute for constant observation.

Choice D rationale:

Maintaining constant observation of the client is the priority to prevent any further self-harm or suicide attempts.

A. Appoint the client to be the leader during group therapy. B. Monitor the client's interactions with other clients. C. Offer the client two warnings before implementing consequences. D. Assign the client to a room near the activity area.

Correct Answer is B

Explanation

Choice A rationale:

Appointing the client as a leader may not be appropriate, as individuals with antisocial personality disorder may misuse their position of authority.

Choice B rationale:

Clients with antisocial personality disorder often struggle with interpersonal relationships, may be manipulative, and may engage in behaviors that violate the rights of others. Monitoring the client's interactions with other clients helps ensure a safe and therapeutic environment while preventing harm to others.

Choice C rationale:

Offering warnings before consequences might not be effective with clients who have antisocial personality disorder, as they may disregard rules and consequences.

Choice D rationale:

Assigning a room near the activity area does not necessarily address the need to monitor the client's interactions with others.

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A nurse is providing teaching to a client who has neutropenia about preventing foodborne illness. Which of the following instructions should the nurse include?

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