A nurse is teaching a newly licensed nurse about caring for a client who has neutropenia. Which of the following instructions should the nurse
include?
Use clean technique for invasive procedures.
Allow healthy children to visit.
Make sure the client's room is cleaned every 2 days.
Monitor the client's temperature every 4 hr.
The Correct Answer is D
A. Use clean technique for invasive procedures is incorrect because clients with neutropenia require sterile technique for invasive procedures to minimize infection risk.
B. Allow healthy children to visit is incorrect because children can be asymptomatic carriers of infections, which can be life-threatening for immunocompromised clients.
C. Make sure the client's room is cleaned every 2 days is incorrect because a neutropenic client’s room should be cleaned daily to reduce exposure to pathogens.
D. Monitor the client's temperature every 4 hr is correct because even a slight fever can indicate infection, which can be life-threatening for a client with neutropenia. Frequent monitoring allows for early detection and intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Decreased impulsiveness. Methylphenidate is a CNS stimulant used to treat ADHD. It helps improve attention, focus, and impulse control, which indicates the medication's effectiveness.
B. Decreased abdominal pain. Abdominal pain is a possible side effect of methylphenidate, but its resolution does not indicate the medication’s effectiveness in treating ADHD.
C. Increased appetite. Methylphenidate commonly suppresses appetite rather than increasing it. Increased appetite would not indicate effectiveness.
D. Increased urine output. Methylphenidate does not significantly affect urine output, so this is not a sign of its effectiveness.
Correct Answer is C
Explanation
A. Stimulants should not be administered to clients with acute alcohol toxicity, as they can increase agitation and cardiovascular stress.
B. Diuretics are not used for alcohol toxicity because they do not effectively eliminate alcohol and may contribute to dehydration.
C. Measuring urine specific gravity helps assess hydration status and kidney function, which can be affected by acute alcohol toxicity.
D. An NG tube is not routinely indicated unless the client is at risk for aspiration or requires gastric lavage due to severe intoxication.
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