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 D

Explanation

Choice A rationale:

This statement is incorrect. Mexican Americans do not have higher rates of good blood pressure control compared to other populations.

Choice B rationale:

This statement is incorrect. Mexican Americans are not more likely to receive treatment for hypertension compared to other populations.

Choice C rationale:

This statement is incorrect. While hypertension is prevalent among Mexican Americans, stating they have the highest prevalence of hypertension in the world is inaccurate. The prevalence of hypertension is influenced by various factors and can vary across different regions globally.

A. Formation of thrombus in the coronary artery. B. Formation of fibrous plaque in the endothelium. C. Reduction of blood flow through the coronary arteries. D. Development of fatty streaks in the smooth muscles of the endothelium.

Correct Answer is D

Explanation

Choice A rationale:

Thrombus formation is a later stage event in coronary artery disease (CAD) and occurs after the development of fatty streaks. Thrombus formation usually happens due to the rupture of atherosclerotic plaques, leading to platelet aggregation and clot formation.

Choice B rationale:

Formation of fibrous plaque in the endothelium is a progression that occurs after the initial development of fatty streaks. Fibrous plaques are formed as a response to the inflammation caused by fatty deposits. They are more stable than fatty streaks but can still lead to narrowing of the arteries.

Choice C rationale:

Reduction of blood flow through the coronary arteries is a consequence of atherosclerosis, which occurs after the initial development of fatty streaks. As the fatty deposits accumulate, they narrow the arteries, leading to reduced blood flow. However, this is not the initial change that makes patients susceptible to CAD.

Choice D rationale:

Development of fatty streaks in the smooth muscles of the endothelium is the initial change that occurs in the development of atherosclerosis, making patients susceptible to coronary artery disease. Fatty streaks are composed of lipid-laden macrophages and smooth muscle cells. Over time, these fatty streaks can progress into fibrous plaques and eventually lead to complications such as thrombus formation and reduced blood flow.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse presents information to a group of nursing students about cultural and ethnic health disparities related to hypertension.Which information would the nurse include about the comparison of Mexican Americans to White and Black populations?

Correct Answer is D

Explanation

Which change occurs first, making patients susceptible to coronary artery disease?

Correct Answer is D

Explanation

Which arterial blood gas (ABG) data corresponds with a patient's clinical manifestations of respiratory alkalosis?

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

A healthy 70-year-old patient has low hemoglobin levels and no signs of gastrointestinal bleeding.The nurse recognizes which item is an effect of aging that could be the reason for the low hemoglobin level?

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

A patient's arterial blood gas (ABG) results include a pH of 7.32, a PaCO2 of 56 mm Hg, and an HCO3 of 24 mEq/L. Which acid-base imbalance would the nurse use when developing the patient's plan of care?

The nurse recognizes that patients with von Willebrand disease are at risk for prolonged bleeding times for which reason?

Which rationale supports the nurse's assessment of a patient's magnesium level?

The arterial blood gas (ABG) results for a patient who overdosed on barbiturates are pH = 7.32, PaCO2 = 52, and HCO3 = 23. Which interpretation would the nurse rely on when planning the patient's care?