What discharge teaching is most important to help the patient who has had a splenectomy prevent infection?

Avoid showering for 1 week

Receive a yearly flu vaccine.

Stay on antibiotics for life.

Sleep in a semi-Fowler position.

Answer and Explanation

The Correct Answer is B

A.   Showering is not typically restricted after a splenectomy. Good hygiene practices, including regular showering, are important for preventing infection.
B.   Patients who have undergone a splenectomy are at increased risk of infections, particularly from encapsulated bacteria such as Streptococcus pneumoniae. Yearly flu vaccination helps reduce the risk of influenza-related complications.
C.   Long-term antibiotic prophylaxis is not routinely recommended for all patients after splenectomy. Antibiotics may be prescribed in certain situations, such as for postsplenectomy sepsis prevention, but lifelong use is not standard practice.
D.   Sleeping position is not directly related to infection prevention after splenectomy.

General infection prevention measures, such as vaccination and avoiding exposure to sick individuals, are more important.

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Correct Answer is C

Explanation

A. Daily weight monitoring is important for assessing fluid status but may not provide real-time information about fluid balance changes.
B. Vital signs are important for overall assessment but may not specifically address the nursing diagnosis of Excess Fluid Volume unless there are significant changes indicative of fluid overload or dehydration.
C. Monitoring intake and output provides direct information about fluid balance and renal function, helping to identify trends and assess the effectiveness of interventions aimed at managing fluid volume.
D. Skin turgor assessment is useful for evaluating hydration status but may not provide comprehensive data on fluid volume excess alone.

A. An individual who drinks alcohol B. An individual with Down syndrome C. A client with hemophilia D. A client with iron deficiency anemia

Correct Answer is B

Explanation

A. While excessive alcohol consumption can contribute to various health problems, it is not a known risk factor for leukemia.
B. Down syndrome is associated with an increased risk of developing leukemia, particularly acute lymphoblastic leukemia (ALL).

C. Hemophilia is a bleeding disorder and is not directly associated with an increased risk of leukemia.
D. Iron deficiency anemia is not a known risk factor for leukemia.

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What discharge teaching is most important to help the patient who has had a splenectomy prevent infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nursing diagnosis of Excess Fluid Volume is made for a patient with chronic kidney disease. Which of the following data is most important for the nurse to collect for this patient based on the nursing diagnosis?

Correct Answer is C

Explanation

The nurse is caring for a group of clients. Which client is at highest risk for developing leukemia?

Correct Answer is B

Explanation

A patient is admitted to the hospital for a splenectomy. The nurse understands that the health-care provider prescribes an injection of vitamin K prior to surgery for which action?

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