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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
The correct answers are Choices A, C, and D.
Choice A rationale: Obtaining the client's weight is important before and after hemodialysis to assess fluid removal and monitor the patient's fluid balance.
Choice B rationale: Verifying the glomerular filtration rate (GFR) is not necessary immediately before hemodialysis. GFR is typically assessed periodically to monitor kidney function but is not required for each dialysis session.
Choice C rationale: Checking the graft site for a palpable thrill is essential to ensure the arteriovenous (AV) fistula or graft is functioning properly. The thrill indicates that blood is flowing through the access site.
Choice D rationale: Documenting vital signs is crucial before, during, and after hemodialysis to monitor the client's hemodynamic status and detect any complications.
Choice E rationale: Administering a sedative is not a routine part of hemodialysis care. Sedatives may be prescribed for specific situations, but it is not standard practice.
Correct Answer is C
Explanation
Choice A rationale
Consuming alcohol before bed can worsen GERD symptoms by relaxing the lower esophageal sphincter and increasing acid reflux.
Choice B rationale
Eating a snack before bed can increase the likelihood of acid reflux during sleep, as lying down shortly after eating can promote reflux.
Choice C rationale
Elevating the head of the bed helps reduce acid reflux by keeping stomach acid from flowing back into the esophagus during sleep.
Choice D rationale
Sleeping on the stomach with the head flat can exacerbate GERD symptoms by increasing pressure on the stomach and promoting acid reflux.
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