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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dressings are typically not removed on the day of surgery to allow for observation of any bleeding or drainage. Dressing removal is usually performed by the surgical team or as directed by the healthcare provider.
B. Encourage ambulation on the day of surgery: Ambulation is important for preventing complications such as deep vein thrombosis and atelectasis, and to promote healing.
C. Postoperative positioning depends on the type of surgery performed and any specific patient needs, but placing the client in a supine position may not address comfort or respiratory considerations.
D. Offering ice cream, which is high in fat, may not be tolerated well immediately after this type of surgery.
Correct Answer is D
Explanation
A. Coffee is generally well tolerated unless the patient experiences discomfort or adverse effects from caffeine. It does not typically pose specific risks for patients with Hodgkin's disease.
B. Orange juice is generally safe to consume unless the patient has specific dietary restrictions or intolerances. It provides vitamin C and hydration.
C. Ginger ale is a non-caffeinated, carbonated beverage that is often used to alleviate nausea and upset stomach. It is generally safe to consume for patients with Hodgkin's disease unless there are individual sensitivities.
D. Alcohol consumption, including wine, should be avoided by patients with Hodgkin's disease, especially during treatment. Alcohol can suppress the immune system and may interact with medications or exacerbate side effects.
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