A nurse is reinforcing teaching with a client who is receiving chemotherapy to treat lung cancer and has neutropenia. Which of the following instructions should the nurse include?
"Check your rectal temperature daily.
"Use an alcohol-based mouthwash."
"Report any persistent cough."
"Increase your intake of raw vegetables."
The Correct Answer is C
A. "Check your rectal temperature daily.": Rectal temperature measurement is contraindicated in neutropenic clients because it can cause mucosal injury and introduce infection. Oral or tympanic thermometers are safer for monitoring.
B. "Use an alcohol-based mouthwash.": Alcohol-based mouthwashes can irritate oral mucosa and worsen mucositis, which is common in chemotherapy clients. Nonalcoholic mouth rinses or saline solutions are preferred for oral hygiene.
C. "Report any persistent cough.": A persistent cough may indicate infection, which is a serious concern in neutropenic clients due to their impaired immune response. Prompt reporting allows early assessment and treatment to prevent complications.
D. "Increase your intake of raw vegetables.": Raw vegetables may harbor bacteria or fungi that could cause infection in neutropenic clients. Cooked or thoroughly washed foods are safer to minimize infection risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Suggest the client exercise before going to bed: Exercising close to bedtime can interfere with sleep and worsen insomnia, which is often present in clients with depression. Morning or early afternoon exercise is preferable for mood enhancement and energy regulation.
B. Encourage the client to use positive self-talk: Positive self-talk helps the client challenge negative thought patterns, improve self-esteem, and reduce depressive symptoms. Cognitive-behavioral interventions like this are evidence-based strategies in managing major depressive disorder.
C. Recommend the client spend time alone in his room: Isolation can worsen depressive symptoms and feelings of loneliness. Encouraging social interaction, participation in activities, and therapeutic engagement is more beneficial for recovery.
D. Offer the client low-protein snacks throughout the day: Protein intake is important for energy and neurotransmitter synthesis. Low-protein snacks do not provide nutritional support and are not specifically indicated for depression management.
Correct Answer is D
Explanation
A. Eyewear: Eye protection should be removed after the gown and gloves to prevent contamination from contact with surfaces or clothing. Removing it too early could expose the nurse to infectious materials on the hands or clothing.
B. Gown: The gown should be removed after gloves to avoid transferring contaminants from the gown to clean hands. Proper technique includes turning the gown inward and rolling it away from the body.
C. Mask: The mask is removed last to maintain protection while other contaminated PPE is being removed. This prevents inhalation of droplets or contact with respiratory secretions during the removal process.
D. Gloves: Gloves are the most contaminated piece of PPE and should be removed first to prevent the spread of infectious material to other surfaces or to the nurse’s skin. Proper glove removal reduces cross-contamination risk during the rest of the PPE doffing process.
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