The nurse caring for a client with acute leukemia who is immunosuppressed is diligent about protecting the patient from infection. When visitors come in, in addition to having them put on neutropenic isolation, the registered nurse prohibits them from bringing a:

New pajama.

Well-done meat.

Beautiful potted plant.

A new iPad from the online store

Answer and Explanation

The Correct Answer is C

A. New pajamas are generally not a risk for infection and do not pose a significant threat to an immunosuppressed patient.
B. Well-done meat is safe for consumption and does not pose an infection risk in this context.
C. A potted plant can harbor soil-borne bacteria and fungi, posing a risk of infection to immunosuppressed patients and should be avoided.
D. A new iPad from the online store is unlikely to introduce infection and does not pose a significant risk.

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Correct Answer is C

Explanation

A. Although aspirin has analgesic properties, its primary purpose in the context of myocardial infarction is not pain relief but rather to prevent further cardiac events.

B. Aspirin has antipyretic effects, but this is not the primary reason it is used in post-MI treatment.

C. Aspirin is used as an antiplatelet aggregate to prevent clot formation, which reduces the risk of another myocardial infarction. It inhibits platelet aggregation, making it crucial in secondary prevention.

D. While aspirin does have anti-inflammatory properties, its primary role in post-MI care is to prevent platelet aggregation and reduce the risk of future cardiac events.

A. Position the client in a high-Fowler's position if clear drainage is noted on the dressing. B. Assist the client into a knee-chest position to manage postoperative discomfort. C. Monitor sensory perception of the lower extremities. D. Maintain strict bed rest for the first 48 hr postoperative.

Correct Answer is C

Explanation

A. Positioning the client in a high-Fowler's position might not be appropriate immediately after a spinal fusion due to potential strain on the surgical site; the position should be adjusted based on specific postoperative orders.
B. The knee-chest position is not typically used postoperatively for a laminectomy with spinal fusion and could cause discomfort or complications.
C. Monitoring sensory perception of the lower extremities is crucial after spinal surgery to assess for potential complications such as nerve damage or compromised circulation.
D. Strict bed rest is not generally required for the entire first 48 hours; mobility and positioning should be based on the surgeon's recommendations and the client's tolerance.

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The nurse caring for a client with acute leukemia who is immunosuppressed is diligent about protecting the patient from infection. When visitors come in, in addition to having them put on neutropenic isolation, the registered nurse prohibits them from bringing a:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?

Correct Answer is C

Explanation

A nurse is caring for a client who is postoperative following a laminectomy with spinal fusion. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate (TURP) gland. Which of the following assessments should the nurse view to be an indication of a postoperative complication?

A nurse is teaching self-management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching?

A nurse is teaching a client about risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who has pericarditis and reports feeling a new onset of palpitations and shortness of breath. Which of the following assessments should indicate to the nurse that the client may have developed atrial fibrillation?

A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?

A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?

A nurse is caring for a client who has had a spinal cord injury at the level of the T2-T3 vertebrae. When planning care, the nurse should anticipate which of the following types of disability?

A nurse is selecting a qualified staff member to double check a blood label with a client ID bracelet prior to infusing a unit of blood. The nurse should identify that which of the following persons is qualified?