Nokea
A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the nurse would indicate a need for further teaching?
- A. The patient ambulates several times a day in the room
- B. The patient's visitors bring in some fresh peaches from home
- C. The patient cleans with a warm washcloth after having a stool
- D. The patient uses soap and shampoo to shower every other day
Correct Answer: B
Rationale: Neutropenia post-chemo low neutrophils craves germ-free zones; fresh peaches from home carry bacteria, a teaching gap as raw produce risks infection in this immune-wrecked state. Ambulation's safe, hygiene's spot-on washcloths and showers cut germs. Nurses reteach, banning unwashed fruit, a vital shield in leukemia's neutropenic peril, ensuring clients grasp this microbial minefield.
You may also like to solve these questions
Which is FALSE regarding PCP pneumonia in AIDS?
- A. it is usually only seen when the CD4 count <200
- B. prophylaxis should be given in all pts with CD4 count <200
- C. CXR characteristically shows bilateral diffuse infiltrates
- D. Once a patient has had it they are unlikely to get it again
Correct Answer: D
Rationale: PCP relapse haunts AIDS CD4 <200 stays vulnerable, not a one-off. Prophylaxis holds below 200, CXR's diffuse or blank 20%, all true. Nurses know this chronic lung leech bites again sans lifelong guard.
What is an important independent risk factor for the development of type 2 diabetes mellitus?
- A. Alcohol use
- B. Ethnicity
- C. Socioeconomic status
- D. All three options above
Correct Answer: B
Rationale: Ethnicity stands tall South Asians, Hispanics outpace Caucasians in type 2 risk, genes and fat patterns at play. Alcohol's murky, socioeconomic status shapes access, not biology nurses see heritage trump these, a chronic marker needing tailored screens.
Which animal is least associated with rabies?
- A. dogs
- B. skunks
- C. foxes
- D. rats
Correct Answer: D
Rationale: Rabies dogs, skunks, foxes, bats bite big; rats rarely tag along. Nurses eye this chronic zoonotic crew.
Which of the following models view disability as directly caused by disease or trauma?
- A. Social
- B. Nursing
- C. Medical
- D. Collaborative
Correct Answer: C
Rationale: The medical model pins disability on disease or injury fix the body, fix the problem a view nurses use for acute hits. Social blames society's gaps; nursing, collaborative blend care angles, not cause. It's a chronic lens shift, body-first.
Regarding HIV/AIDS
- A. Shingles, seborrhoeic dermatitis and recurrent HSV infections are typical of early infection
- B. A CD4 count of 1.0 x 10^9/L is associated with late stage AIDS
- C. Pre and post test counselling for HIV serology is now no longer mandatory
- D. Pneumococcus is a more likely pathogen than TB in AIDS patients with pneumonia
Correct Answer: D
Rationale: HIV early skin woes, CD4's units flop, counseling holds, TB trumps pneumococcus, toxo hits brain. Nurses chase this chronic lung truth.