A client with leukopenia is being discharged home. Which of the following should the nurse include in the teaching plan for this client?
undertake mild exercise like gardening
avoid crowds
monitor oral temperature weekly
eat plenty of fresh fruits and vegetables
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Neutropenic precautions are implemented when the white blood cell count is significantly decreased, typically below 1,000/mm3, to protect the client from potential infections due to compromised immunity.
B. Hematocrit level and hemoglobin levels are indicators of red blood cell function and oxygen-carrying capacity and are not directly related to neutropenia.
C. Hemoglobin levels are an indicator of oxygen-carrying capacity and are not directly related to neutropenia.
D. Platelet count is related to clotting function and is not directly related to neutropenia.
Correct Answer is D
Explanation
A. Normal joint wear and tear typically do not result in bony enlargements, deviation of fingers, or hard, painless joints.
B. Osteomyelitis is a bone infection and would present with symptoms such as fever, localized pain, swelling, and redness over the affected bone, rather than bony enlargements of the joints.
C. Uric acid deposits are associated with conditions like gout and would typically manifest as acute attacks of severe pain, redness, and swelling in the affected joint, rather than the chronic, painless joint deformities seen in the scenario described.
D. Rheumatoid Arthritis (RA) is a chronic autoimmune disorder characterized by inflammation of the synovium, leading to joint deformities, bony enlargements, and deviation of fingers. Joints affected by RA are typically hard, painless, and may exhibit ulnar deviation.
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