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. Jaundice is typically not visible in the webbed areas of the fingers.

B. The nail beds are part of the skin that can show jaundice, but they may also be aﬀected by other factors such as anemia, cyanosis, or nail polish.
C. The hard palate is a part of the oral mucosa that can show jaundice, especially in clients with dark skin tones.
D. This is not an area that the nurse should inspect to monitor for the presence of jaundice in a client who is African American and has cholecystitis. The skin can show jaundice, but it may be difficult to detect in clients with dark skin tones.

A. Platelet count 125,000/mm3 B. Hematocrit 35% C. Weight loss D. Bone pain

Correct Answer is A

Explanation

A. A platelet count of 125,000/mm³ is lower than normal, and poses an increased risk of bleeding requiring immediate attention.
B. A hematocrit of 35% falls within the normal range for many individuals and does not indicate an urgent issue.
C. Weight loss may be a concern but is not typically considered a priority over other symptoms such as bone pain.
D. Bone pain in a client with leukemia is a common symptom of leukemia but does not require immediate attention compared to a low platelet count.

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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

A nurse is collecting data from a client who is African American has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has leukemia. Which of the following findings has the highest priority?

Correct Answer is A

Explanation

The nurse is caring for a patient whose cardiac monitor shows a total absence of electrical impulse as indicated by a flat line. The nurse does not detect a pulse or blood pressure. The nurse would document this as which of the following rhythms?

Which of the following foods should a client with leukemia avoid?

A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?

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The nurse is caring for a patient who has had three or more premature ventricular contractions occurring in a row on the electrocardiogram tracing. The nurse should document this as which of the following?

The nurse is caring for a client with Hodgkin lymphoma. Which clinical manifestations can the nurse expect to find? (Select All that Apply.)

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