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

Answer and Explanation

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

Explanation

A. Common allergic reactions but not specific to anaphylaxis.
B. Can be a sign of anaphylaxis, reflecting a systemic allergic response.
C. Anaphylaxis is more commonly associated with tachycardia.
D. Hives are a common allergic reaction and can occur in anaphylaxis, but they are not specific to it.

A. More difficulty seeing due to a greater sensitivity to glare B. Decreased systolic blood pressure C. Decreased bladder capacity D. Decreased cough reflex E. Dehydration of intervertebral discs

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Age-related changes can cause difficulty seeing, particularly with glare sensitivity.
B. Systolic blood pressure tends to decrease with age.
C. Bladder capacity decreases with age, leading to increased frequency of urination.
D. The cough reflex weakens with age, increasing the risk of aspiration.
E. Intervertebral discs can become dehydrated with age, contributing to a loss of height and increased risk of disc herniation.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Explanation

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