A patient is on isolation for neutropenia. What statement made by the patient requires additional education from the nurse?

"I will avoid individuals who were recently vaccinated."

“I can have visitors so long as they are healthy."

“I can have fresh flowers brought in.”

“I should avoid soft cheese.”

Answer and Explanation

The Correct Answer is A

A. "I will avoid individuals who were recently vaccinated." Patients with neutropenia should avoid live vaccines and exposure to individuals who recently received live vaccines (e.g., MMR, varicella) due to the risk of infection.

B. "I can have visitors so long as they are healthy." This is an appropriate statement. Visitors who are completely healthy and follow proper infection control measures can visit a neutropenic patient.

C. "I can have fresh flowers brought in." Fresh flowers and plants should be avoided due to the risk of fungal or bacterial contamination in the soil and water, which could lead to infection in an immunocompromised patient.

D. "I should avoid soft cheese." Patients with neutropenia should avoid unpasteurized soft cheeses (e.g., Brie, feta, blue cheese) as they can contain Listeria and other bacteria that pose a risk of infection.

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Correct Answer is ["B","D"]

Explanation

A. Schedule an in-person appointment with the provider for the next month: This does not address the challenge of frequent travel or accessibility.

B. Setting up a telehealth visit for the patient: Telehealth reduces travel burdens and allows for frequent monitoring without unnecessary trips.

C. Assist the patient in arranging for transportation to and from the appointment: Assisting the patient in arranging transportation can be beneficial, but telehealth visits offer a more sustainable solution for frequent appointments

D. Ensure that the patient has access to their patient portal: A patient portal allows for easy communication with providers, medication refills, and appointment scheduling.

A. 89-year-old with dementia and NG tube with continuous tube feeding B. 73-year old with hypoactive bowel sounds one day post cholecystectomy. C. 43 year old with anorexia and nausea for two days who is tolerating a clear liquid diet D. 65 year old with who has dysphagia after suffering from a stroke who is NPO

Correct Answer is D

Explanation

A. 89-year-old with dementia and NG tube with continuous tube feeding: While this patient requires monitoring, continuous tube feeding is routine, and there is no indication of immediate distress.

B. 73-year-old with hypoactive bowel sounds one day post-cholecystectomy: Hypoactive bowel sounds are expected after surgery, particularly after abdominal procedures. This does not indicate an emergency.

C. 43-year-old with anorexia and nausea for two days who is tolerating a clear liquid diet: This patient’s condition is stable, and nausea is resolving, making them a lower priority.

D. 65-year-old who has dysphagia after suffering from a stroke who is NPO: Dysphagia (difficulty swallowing) increases the risk of aspiration pneumonia, which can be life-threatening. This patient should be assessed first to ensure their airway is protected.

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A patient is on isolation for neutropenia. What statement made by the patient requires additional education from the nurse?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","D"]

Explanation

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Correct Answer is D

Explanation

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