A nurse is reinforcing teaching with a client who has neutropenia. Which of the following instructions should the nurse include in the teaching?
Take temperature weekly.
Participate in gardening for mild exercise.
Eat plenty of fresh fruits and vegetables.
Avoid crowded places.
The Correct Answer is D
Choice A rationale
Taking temperature weekly is incorrect. Clients with neutropenia are at high risk for infections due to their low white blood cell count. Therefore, they should monitor their temperature daily to detect any signs of infection early.
Choice B rationale
Participating in gardening for mild exercise is incorrect. Gardening can expose individuals to soil-borne organisms that could lead to infections, which is particularly dangerous for neutropenic patients.
Choice C rationale
Eating plenty of fresh fruits and vegetables is incorrect. Fresh fruits and vegetables can harbor bacteria and other pathogens that can cause infections in neutropenic patients. It is safer to consume cooked or canned foods.
Choice D rationale
Avoiding crowded places is correct. Neutropenic patients should avoid crowded places to reduce their risk of exposure to infections.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Maintaining a low carbohydrate diet is not specifically recommended for clients with chronic kidney disease (CKD). Instead, the focus is on managing protein, sodium, potassium, and phosphorus intake to prevent further kidney damage and manage symptoms.
Choice B rationale
Eliminating ingestion of foods high in protein is incorrect. While protein intake should be moderated, it should not be completely eliminated. Clients with CKD are advised to consume a controlled amount of high-quality protein to reduce the burden on the kidneys while ensuring adequate nutrition.
Choice C rationale
Increasing intake of sodium-containing food is incorrect. Clients with CKD should restrict sodium intake to help control blood pressure and prevent fluid retention, which can exacerbate kidney damage.
Choice D rationale
Reducing intake of foods high in potassium is correct. Clients with CKD often have difficulty excreting potassium, leading to hyperkalemia, which can be dangerous. Therefore, it is important to limit foods high in potassium.
Correct Answer is A
Explanation
Choice A rationale
Rifampin can cause discoloration of body fluids, including tears, which can stain contact lenses. Therefore, it is recommended to wear glasses instead of contacts while taking this medication.
Choice B rationale
A yellow tint to the skin is not an expected reaction to rifampin. This could indicate jaundice, a sign of liver dysfunction, which requires immediate medical attention.
Choice C rationale
Lifelong treatment with rifampin is not necessary. The typical duration of treatment for active tuberculosis is 6 to 9 months.
Choice D rationale
Rifampin does not cause amenorrhea when taken with oral contraceptives. However, it can reduce the effectiveness of oral contraceptives, so additional contraceptive methods should be used.
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