Which of the following is the best indicator of fluid balance in the body?

Intake and output

Lung sounds

Presence of edema

Weight

Answer and Explanation

The Correct Answer is A

A.   Monitoring fluid intake and output provides direct measurement of fluid balance in the body.
B.   Lung sounds may indicate fluid accumulation in the lungs but are not a direct measure of overall fluid balance.
C.   Edema may indicate fluid retention but does not provide comprehensive information about fluid balance throughout the body.
D.   While weight can be an indicator of fluid balance, it is influenced by factors other than fluid status, such as muscle mass and fat.

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Correct Answer is B

Explanation

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.

A. Stewed apples B. White bread C. Well done steak D. Carrot sticks

Correct Answer is C

Explanation

A. Stewed apples are generally safe for a client with leukemia unless there are specific dietary restrictions.
B. While white bread is not typically contraindicated for leukemia patients, it is generally advisable to consume whole grains for better nutrition.
C. Well-done steak may pose a risk of bacterial contamination, especially for immunocompromised individuals such as those with leukemia. Therefore, it is advisable to avoid undercooked or raw meats.
D. Carrot sticks are generally safe and nutritious for individuals with leukemia unless there are specific dietary restrictions.

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Which of the following is the best indicator of fluid balance in the body?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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

Correct Answer is C

Explanation

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