Nokea
The client is placed on neutropenia precautions. Which information should the nurse teach the client?
- A. Shave with an electric razor and use a soft toothbrush.
- B. Eat plenty of fresh fruits and vegetables.
- C. Perform perineal care after every bowel movement.
- D. Some blood in the urine is not unusual.
Correct Answer: A
Rationale: Neutropenia precautions include electric razors and soft toothbrushes (A) to prevent bleeding/infection. Fresh produce (B) risks infection, perineal care (C) is routine, and hematuria (D) is abnormal.
You may also like to solve these questions
The client diagnosed with menorrhagia complains to the nurse of feeling listless and tired all the time. Which scientific rationale would explain why these symptoms occur?
- A. The pain associated with the menorrhagia does not allow the client to rest.
- B. The client’s symptoms are unrelated to the diagnosis of menorrhagia.
- C. The client probably has been exposed to a virus that causes chronic fatigue.
- D. Menorrhagia has caused the client to have decreased levels of hemoglobin.
Correct Answer: D
Rationale: Menorrhagia causes blood loss, lowering hemoglobin (D), leading to fatigue/listlessness. Pain (A) is not primary, symptoms are related (B), and viral fatigue (C) is less likely.
Which client should be assigned to the experienced medical-surgical nurse who is in the first week of orientation to the oncology floor?
- A. The client diagnosed with non-Hodgkin’s lymphoma who is having daily radiation treatments.
- B. The client diagnosed with Hodgkin’s disease who is receiving combination chemotherapy.
- C. The client diagnosed with leukemia who has petechiae covering both anterior and posterior body surfaces.
- D. The client diagnosed with diffuse histolytic lymphoma who is to receive two (2) units of packed red blood cells.
Correct Answer: C
Rationale: Leukemia with extensive petechiae (C) indicates severe thrombocytopenia, requiring experienced assessment for bleeding. Radiation (A), chemotherapy (B), and transfusions (D) are less complex.
A child who is being treated for leukemia develops stomatitis. Which of the following nursing care measures is essential?
- A. Using dental floss to clean the teeth
- B. Frequent cleaning of the mouth with an astringent mouthwash
- C. Use of an overbed cradle
- D. Swabbing the mouth with moistened cotton swabs
Correct Answer: D
Rationale: Swabbing the mouth with moistened cotton swabs gently cleans the mouth without irritating stomatitis. Flossing or astringent mouthwash may worsen irritation, and an overbed cradle is unrelated.
When assessing the client who is recovering from a radical hysterectomy with vulvectomy, the nurse notes lymphedema of the lower extremities. Which intervention should be implemented by the nurse?
- A. Elevate the head of the client’s bed to 45 degrees.
- B. Increase the client’s intake of fluids high in sodium.
- C. Encourage the client to exercise the lower extremities.
- D. Apply splints to both of the client’s lower extremities.
Correct Answer: C
Rationale: A. Elevating the head of the bed to a 45-degree angle may increase lymphedema of the lower extremities. B. Intake of fluids high in sodium will cause fluid retention. C. Leg exercises will improve drainage when lymphedema is present. D. Lower-extremity splints can cause skin breakdown of edematous tissue.
The nurse writes a diagnosis of 'activity intolerance' for a client diagnosed with anemia. Which intervention should the nurse implement?
- A. Encourage isometric exercises.
- B. Assist the client with activities of daily living (ADLs).
- C. Provide a high-protein diet.
- D. Refer to the physical therapist.
Correct Answer: B
Rationale: Assisting with ADLs (B) conserves energy in anemia-related activity intolerance. Isometric exercises (A) strain oxygen capacity, diet (C) is medical, and PT (D) is collaborative.