A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?
Avoid crowds
Eat plenty of fresh fruits and vegetables
Take temperature weekly.
Perform mild exercise, such as gardening
The Correct Answer is A
A. Avoid crowds - Neutropenic patients are highly susceptible to infections. Crowded places increase the risk of exposure to pathogens.
B. Eat plenty of fresh fruits and vegetables - While generally healthy, fresh fruits and vegetables can harbor bacteria, posing a risk for infection in neutropenic individuals. Cooked or properly washed and peeled produce is safer.
C. Take temperature weekly - Neutropenic patients should monitor their temperature daily, not weekly, to detect infections early.
D. Perform mild exercise, such as gardening - Gardening can expose individuals to soil-borne organisms that could lead to infections. Indoor exercises or those that don’t involve potential pathogen exposure are safer.
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Related Questions
Correct Answer is B
Explanation
A. Instruct the client to dig their heels into the bed to push themselves upwards: This increases friction on the heels, which can lead to skin breakdown.
B. Assist the client with a trapeze to raise their body while staff assists with repositioning. Using a trapeze allows the client to lift themselves slightly off the bed, reducing the friction and shear forces that can cause skin injuries during repositioning.
C. Have two to three staff members pull the client up in bed when needed: This increases the risk of friction injuries, especially if the client is not lifted properly.
D. Elevate the head of the bed 90° for bedridden clients: High elevation of the bed can increase the risk of shear injuries due to sliding down in bed.
Correct Answer is B
Explanation
A. Alcohol use disorder. While alcohol use disorder can lead to various health issues, it is not a direct cause of hearing loss.
B. Prolonged exposure to loud noises. Prolonged exposure to loud noises is a well-known risk factor for noise-induced hearing loss. This includes occupational noise exposure and listening to loud music.
C. Exposure to environmental toxins. Some environmental toxins, like certain chemicals and heavy metals, can lead to ototoxicity, which can damage the auditory system and cause hearing loss.
D. Contact with excessive heat. Excessive heat exposure is not directly linked to hearing loss. Hearing loss is more related to factors like noise exposure, ototoxic substances, and infections.
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