Which of the following does the nurse implement as the most important measure in preventing transmission of harmful pathogens to patients with depressed bone marrow function?

Creation of a "sterile" environment for the patient with the use of laminar airflow rooms

Placement of patients in private rooms with high-efficiency particulate air (HEPA) filtration

Strict and frequent handwashing by all people having contact with the patient

Administration of combinations of prophylactic antibiotics

Answer and Explanation

The Correct Answer is C

A.   Creation of a "sterile" environment with laminar airflow rooms is not practical or necessary for preventing transmission of pathogens to patients with depressed bone marrow function. It may also not be feasible in many healthcare settings.
B.   Placement of patients in private rooms with HEPA filtration may help reduce airborne pathogens but is not the most important measure for preventing transmission of harmful pathogens to patients with depressed bone marrow function.
C.   Strict and frequent handwashing by all people having contact with the patient is the most important measure for preventing transmission of harmful pathogens, including bacteria and viruses, to immunocompromised patients. Hand hygiene is a fundamental infection control measure that significantly reduces the risk of healthcare-associated infections.
D.   Administration of prophylactic antibiotics may be part of the treatment plan for some patients with depressed bone marrow function to prevent bacterial infections, but it is not the most important measure for preventing transmission of harmful pathogens. Hand hygiene is more effective in reducing the transmission of a wide range of pathogens, including bacteria, viruses, and fungi.

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Correct Answer is A

Explanation

A. "Treatment for vaginal yeast infections must be prescribed by the provider." This statement is correct because antifungal medications, which are required to treat vaginal yeast infections, are prescription-based.
B. "Vaginal yeast infections present as a thick, white discharge." While this is a common symptom of vaginal yeast infections, it alone is not sufficient for diagnosis.
C. "The use of oral contraceptives will decrease the risk for vaginal yeast infections." This statement is incorrect because oral contraceptives may sometimes increase the risk of vaginal yeast infections.

D. "There is usually no itching with vaginal yeast infections as the fungus does not invade the vaginal wall." This statement is incorrect because itching is a common symptom of vaginal yeast infections due to irritation caused by the overgrowth of yeast in the vaginal area.

A. The client's tongue is white. B. The client is nauseated. C. The client is jaundiced. D. The client is short of breath. E. The client reports feeling pain.

Correct Answer is ["C","E"]

Explanation

A. The client's tongue being white is not typically associated with sickle cell crisis but may indicate other issues such as oral thrush.
B. Nausea can be a symptom associated with many conditions and is not specific to sickle cell crisis.
C. Jaundice is a common manifestation of sickle cell crisis due to hemolysis of red blood cells, leading to an increase in bilirubin levels.
D. Shortness of breath may occur in sickle cell crisis if there is severe anemia or if the crisis is complicated by acute chest syndrome, but it is not a defining characteristic.
E. Pain is a hallmark symptom of sickle cell crisis, occurring due to vaso-occlusion and tissue ischemia resulting from the sickling of red blood cells.

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Which of the following does the nurse implement as the most important measure in preventing transmission of harmful pathogens to patients with depressed bone marrow function?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a health clinic is reinforcing teaching to a newly licensed nurse about vaginal yeast infections. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A 30-year-old who is experiencing sickle cell crisis is admitted to the hospital. During the admission assessment, which findings can the nurse attribute to the client's blood disorder?

Correct Answer is ["C","E"]

Explanation

Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

A 16-year-old is admitted with sickle cell crisis. The patient has a pain scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4°F. Select all the appropriate nursing interventions for this patient at this time?

During a sickle cell crisis, which of the following symptoms is most commonly experienced by individuals with sickle cell disease?

Iron-deficiency anemia can cause pica, a rare condition in which a person craves eating nonfood items. Which of these would a client with this type of anemia eat?

A nurse manager in a health clinic is discussing complications associated with sexually transmitted infections (STIs) with a newly licensed nurse. Which of the following statements should be included in the discussion?

A nurse in a provider's office is collecting data for a 45-year-old client who is having manifestations associated with perimenopause. Which of the following findings should the nurse expect?

A nurse is teaching a client about primary syphilis. Which of the following information should the nurse include in the teaching?

The patient, age 28, is admitted with complaints of nausea, sore tongue, tingling of the hands, and difficulty swallowing. Upon examination, her tongue is erythematous. What diagnostic procedure will support this diagnosis?