A nurse is assisting in the plan of care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?
Limit the number of health care workers entering the room.
Insert an indwelling catheter to monitor for sediment in the urine.
Take the client’s temperature once per shift
Provide the client with fresh fruit to avoid constipation
The Correct Answer is A
A. Limiting the number of health care workers entering the room helps reduce the risk of exposure to infections.
B. Inserting an indwelling catheter is not a routine intervention for immunosuppressed clients and may increase the risk of infection.
C. Monitoring temperature more frequently than once per shift is crucial to detect early signs of infection in immunosuppressed clients.
D. Fresh fruit may carry a risk of bacterial contamination, and caution should be exercised in providing it to immunosuppressed clients.
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Correct Answer is ["B","C"]
Explanation
A. Codeine is an opioid analgesic.
B. Acetaminophen is a nonopioid analgesic.
C. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID), also considered a nonopioid analgesic.
D. Fentanyl is an opioid analgesic.
E. Oxycodone is an opioid analgesic.
Correct Answer is ["A","D","E"]
Explanation
A. Vitamin A plays a role in the development and maintenance of epithelial tissues, promoting wound healing.
B. Vitamin B12 is important for nerve function and red blood cell production but not directly related to wound healing.
C. Vitamin D is essential for calcium absorption and bone health.
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E. Vitamin E acts as an antioxidant and may contribute to tissue repair.
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