Which strategy is most important for a nurse to include when planning care for a patient who has neutropenia?

Restricting all visitors.

Placing the patient in a private room.

Advising the patient to use only an electric shaver.

Wearing a gown and gloves when in direct contact with the patient.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Restricting all visitors might be beneficial in preventing infections, but it is not the most important strategy for a patient with neutropenia. The main concern is the risk of infections due to the compromised immune system.

Choice B rationale:

Placing the patient in a private room is crucial for a neutropenic patient. Neutropenia, characterized by a low absolute neutrophil count (ANC), significantly compromises the patient's immune system, making them highly susceptible to infections. Isolating the patient helps minimize the risk of exposure to pathogens, reducing the likelihood of infections.

Choice C rationale:

Using an electric shaver instead of a razor is advisable to prevent cuts and minimize the risk of skin infections. While this is a good practice, it is not the most important strategy compared to isolating the patient and using personal protective equipment (PPE) during direct patient care.

Choice D rationale:

Wearing a gown and gloves when in direct contact with the patient is essential to prevent the spread of infections. This is a necessary measure, but isolating the patient in a private room takes precedence as it minimizes the risk of exposure to pathogens, providing a safer environment for the neutropenic patient.

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Correct Answer is C

Explanation

Choice A rationale:

Palpating lymph nodes for swelling is not directly related to thrombocytopenia. Thrombocytopenia is a condition characterized by a low platelet count, which can lead to easy bruising and bleeding. Checking lymph nodes is more relevant in assessing for infection or malignancy.

Choice B rationale:

Checking temperature for elevation is important for assessing infection, which could be a cause of thrombocytopenia. However, in this context, inspecting the skin for bruising or petechiae is more specific to thrombocytopenia. Petechiae are small, red or purple dots that appear on the skin when platelet count is low.

Choice D rationale:

Examining oral mucosa for ulceration is essential in the assessment of conditions like oral cancer or infection. While thrombocytopenia could lead to bleeding in the oral mucosa, it is not the most specific or immediate concern in a patient with known thrombocytopenia.

A. Stenosis of the heart valves. B. Decreased adrenergic sensitivity. C. Increased parasympathetic activity. D. Loss of elasticity in arterial vessels.

Correct Answer is D

Explanation

Choice A rationale:

Stenosis of the heart valves typically leads to murmurs and changes in heart sounds but does not directly impact blood pressure regulation.

Choice B rationale:

Decreased adrenergic sensitivity might lead to lower heart rate and blood pressure, not an increase in systolic blood pressure as seen in this case.

Choice C rationale:

Increased parasympathetic activity would lead to decreased heart rate, not an increase in systolic blood pressure as observed in the patient.

Choice D rationale:

Loss of elasticity in arterial vessels is the correct answer. With aging, arterial walls become less flexible and more rigid due to the accumulation of calcium and collagen. This loss of elasticity results in increased systolic blood pressure, which is the top number in a blood pressure reading. The diastolic pressure, represented by the bottom number, does not usually increase significantly with age. This change is a result of arteriosclerosis, which commonly occurs in elderly individuals.

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Which strategy is most important for a nurse to include when planning care for a patient who has neutropenia?

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Naxlex Comprehensive Predictor Exams

After noting that a patient with leukemia has thrombocytopenia, which action will the nurse plan to take?

Correct Answer is C

Explanation

The blood pressure (BP) of a 71-year-old patient admitted with pneumonia is 160/70 mm Hg. Which age-related change contributes to this finding?

Correct Answer is D

Explanation

The nurse provides education regarding daily activities to a patient with thrombocytopenia.Which activity identified by the patient indicates understanding of the teaching?

The nurse notes that a patient has a smooth and shiny tongue surface.The nurse would attribute these findings to which condition?

Which information would the nurse include when discussing pain due to chronic stable angina with the patient?

With which term will the nurse document the finding after noting multiple 1-mm red macules when assessing the skin of a patient with leukemia and thrombocytopenia?

Which information will the nurse include when teaching a patient who is receiving chemotherapy for leukemia?

The nurse provides education to a patient about the symptoms of uncontrolled hypertension.Which symptom would the nurse include? Select all that apply.One, some, or all responses may be correct.

A patient is diagnosed with primary hypertension and asks the nurse what caused the condition.Which response would the nurse give?

The nurse receives a health care provider's prescription to change a patient's IV from D5. half-normal saline with 40 mEq KCl/L to DSNS with 20 mEq KCl/L. Which set of serum laboratory values supports the rationale for this IV prescription change?