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.

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A rationale
Urine specific gravity of 1.020 is within the normal range (1.005 to 1.030). This indicates that the urine concentration is normal and does not suggest any abnormality that needs to be reported.
Choice B rationale
Microscopic hematuria refers to the presence of red blood cells in the urine, which is not visible to the naked eye. This finding can indicate a urinary tract infection, kidney stones, or other renal pathology and should be reported to the provider for further evaluation.
Choice C rationale
Amber yellow urine color is considered normal and does not indicate any pathology. The color of urine can vary depending on hydration status and does not necessarily indicate a problem.
Choice D rationale

The absence of glucose in the urine is a normal finding. The presence of glucose in the urine would indicate glycosuria, which is often associated with diabetes mellitus.

A. Phenazopyridine hydrochloride turns the urine purple. B. Administer phenazopyridine hydrochloride before meals. C. Yellowing of the sclera is an expected effect of phenazopyridine hydrochloride. D. Phenazopyridine hydrochloride works as a urinary tract analgesic.

Correct Answer is D

Explanation

Choice A rationale
Phenazopyridine hydrochloride does not turn the urine purple. Instead, it typically causes the urine to turn a reddish-orange color. This discoloration is harmless and is due to the dye properties of the medication. The purple urine bag syndrome is a rare condition associated with urinary tract infections and not with phenazopyridine hydrochloride use.
Choice B rationale
Phenazopyridine hydrochloride should be taken after meals to minimize stomach upset. Taking it before meals can increase the risk of gastrointestinal discomfort. The medication works as a urinary tract analgesic and does not require administration before meals for effectiveness.
Choice C rationale

Yellowing of the sclera is not an expected effect of phenazopyridine hydrochloride. Yellowing of the sclera, or jaundice, is typically associated with liver dysfunction or hemolysis.
Phenazopyridine hydrochloride does not cause jaundice and any yellowing of the sclera should be promptly evaluated by a healthcare provider.
Choice D rationale
Phenazopyridine hydrochloride works as a urinary tract analgesic. It provides relief from pain, burning, and discomfort caused by irritation of the urinary tract. It is not an antibiotic and does not treat the underlying infection but helps alleviate the symptoms.

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A nurse is reinforcing teaching with a client who has neutropenia. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

A nurse is reinforcing discharge instructions with a client who has a new prescription for phenazopyridine hydrochloride. Which of the following statements should the nurse include in the instructions?

Correct Answer is D

Explanation

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