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 C

Explanation

Choice A rationale

COPD is incorrect. Chronic obstructive pulmonary disease (COPD) is a respiratory condition and is not a risk factor for urinary tract infections (UTIs). UTIs are typically caused by bacterial infections in the urinary tract.
Choice B rationale
Anemia is incorrect. Anemia is a condition characterized by a deficiency of red blood cells or hemoglobin. It is not a direct risk factor for UTIs. UTIs are primarily caused by bacterial infections.
Choice C rationale
Diabetes mellitus is correct. Diabetes mellitus is a significant risk factor for UTIs. High blood sugar levels can create an environment that promotes bacterial growth in the urinary tract. Additionally, individuals with diabetes may have impaired immune function, making them more susceptible to infections.
Choice D rationale
Osteoporosis is incorrect. Osteoporosis is a condition characterized by weakened bones and an increased risk of fractures. It is not a risk factor for UTIs. UTIs are primarily caused by bacterial infections in the urinary tract.

A. Serve cooked fruit with meals. B. Report temperatures greater than 39.5°C (102.3°F) lasting more than 4 hours. C. Place the client in a room with negative-pressure airflow. D. Instruct client to use an incentive spirometer every 4 hours.

Correct Answer is A

Explanation

Choice A rationale
Serving cooked fruit with meals is an appropriate intervention for a client with a low WBC count after chemotherapy. Cooking fruit helps eliminate potential pathogens, reducing the risk of infection.
Choice B rationale
Reporting temperatures greater than 39.5°C (102.3°F) lasting more than 4 hours is not appropriate. A lower threshold for fever should be used, as even a slight increase in temperature can indicate infection in immunocompromised clients.
Choice C rationale
Placing the client in a room with negative-pressure airflow is not necessary for clients with low WBC counts. This intervention is typically used for clients with airborne infections.
Choice D rationale
Instructing the client to use an incentive spirometer every 4 hours is beneficial for lung health but does not directly address the risk of infection associated with low WBC counts.

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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 reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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