The nurse devices a teaching plan for the patient with aplastic anemia. Which of the following is the most important concept to teach for health maintenance?
Get 8 hours of sleep at night and take naps during the day
Practice yoga and meditation to decrease stress and anxiety
Eat animal protein and dark leafy vegetables each day
Avoid exposure to others with acute infection
The Correct Answer is D
A. Get 8 hours of sleep at night and take naps during the day:
While adequate sleep is generally important for overall health, it may not be the most critical factor for a patient with aplastic anemia. Aplastic anemia primarily affects blood cell production, and managing infection risk and blood counts are more crucial in this context.
B. Practice yoga and meditation to decrease stress and anxiety:
Stress reduction techniques, such as yoga and meditation, can be beneficial for anyone's overall well-being, but it's not the top priority for someone with aplastic anemia. Managing stress is essential, but again, reducing the risk of infections and maintaining adequate blood counts are more critical.
C. Eat animal protein and dark leafy vegetables each day:
Proper nutrition is essential for patients with aplastic anemia, as it can help support the production of red blood cells and maintain overall health. However, while a balanced diet is important, avoiding infections and minimizing exposure to contagions is more pressing.
D. Avoid exposure to others with acute infection:
This is the most crucial concept for patients with aplastic anemia. Aplastic anemia leads to a weakened immune system, making the patient highly susceptible to infections. Exposure to individuals with acute infections can be life-threatening for these patients. Preventing infections and maintaining adequate blood counts are paramount in the care of individuals with aplastic anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Checking urine for glucose and protein is not directly related to the care of a child with a VP shunt. The focus is on monitoring the child for signs of complications related to the shunt.
B. Administering narcotics for pain control may be indicated if the child is in pain, but it is not the primary action and should be determined based on the child's pain assessment.
C. Testing cerebrospinal (CSF) fluid leakage for protein is not typically a nursing responsibility in the immediate postoperative period. Leakage of CSF should be reported to the healthcare provider, and diagnostic tests would be conducted by medical staff as needed.
D. Monitor for increased temperature.
Monitoring for an increased temperature is essential because postoperative fever could be an early sign of infection or complications related to the VP shunt. Infection and shunt malfunction are potential risks in the postoperative period.
Correct Answer is C
Explanation
A. Continuing to offer a special formula to limit gagging is not a standard approach in the care of infants with cerebral palsy. The choice of formula should be based on the child's nutritional needs, and any feeding difficulties should be addressed by a healthcare professional.
B. Maintaining immobility of the limbs with splints is not recommended. Encouraging movement and mobility is important for the development and well-being of children with cerebral palsy.
C. Preserve muscle tone to prevent joint contractures.
Cerebral palsy is a condition that can lead to problems with muscle tone and movement. Preserving muscle tone is important to prevent joint contractures, which can limit mobility and cause pain. Physical therapy and exercises can help maintain muscle tone and joint flexibility in children with cerebral palsy.
D. Focusing on cognitive rather than motor skills is not appropriate. Motor skills are a crucial aspect of development for children with cerebral palsy. The approach should encompass both cognitive and motor skill development as appropriate for the child's age and abilities.
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