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A client with leukopenia is being discharged home. Which of the following should the nurse include in the teaching plan for this client?

A.

undertake mild exercise like gardening

B.

avoid crowds

C.

monitor oral temperature weekly

D.

eat plenty of fresh fruits and vegetables

Answer and Explanation

The Correct Answer is B

A.    Mild exercise like gardening may be suitable for some clients with leukopenia, but it is not a specific precaution related to their immune status.
 
B.    Clients with leukopenia have reduced white blood cell counts, making them more susceptible to infections. Avoiding crowds helps reduce the risk of exposure to infectious agents.
C.    Monitoring oral temperature weekly is important for early detection of infection.

However, it should be done more frequently, daily and not weekly.

D.    While eating plenty of fresh fruits and vegetables is generally beneficial for overall health, a patient with leukopenia is encouraged to eat cooked foods due to their low immunity.
 


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Related Questions

Correct Answer is D

Explanation

A. It is possible for an infection to be present without an elevated temperature, especially in older adults.
B. While some symptoms may be common in older adults, the presence of symptoms alone does not exclude the possibility of infection.
C. The resolution of infection cannot be determined solely based on the absence of fever.
D. Older adults may have a blunted fever response to infection, leading to a lack of fever despite the presence of other symptoms.

Correct Answer is A

Explanation

A. Standard precautions include the use of gloves, gowns, masks, eye protection, or face shields, depending on the anticipated exposure. Wearing gloves and a gown is appropriate when there is a risk of exposure to bodily fluids, which can occur when bathing a client with open skin lesions. This approach helps prevent the transmission of infections.

B. The UAP does not need to wear gloves when taking blood pressures on all clients unless there is a risk of exposure to blood or body fluids.

C. While wearing gloves, a gown, and an N95 mask may be appropriate for certain situations involving airborne precautions (e.g., tuberculosis), it is not necessary for standard precautions when caring for a client with diarrhea.

D. This is an overuse of gloves and does not align with standard precautions, which recommend using gloves only when there is or may be contact with blood, bodily fluids, secretions, excretions, contaminated items, or mucous membranes.

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