A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?

The client is assigned to a room with negative airflow.

The client's meal tray includes ice cream with fresh fruit.

The client has artificial flowers in the room.

The client's meal tray contains hard-boiled eggs.

Answer and Explanation

The Correct Answer is B

A.   A room with negative airflow helps prevent the spread of airborne pathogens, which is helpful for immunocompromised clients like those with HIV, but it doesn't directly increase the risk of infection.
B.   Correct. Neutropenic clients have reduced immune responses, and consume fresh fruit (which might carry bacteria. can increase the risk of infection.
C.   Artificial flowers might be removed due to infection control concerns, but their presence doesn't significantly increase infection risk.
D.   Hardboiled eggs are not necessarily a high-risk food for infection in neutropenic clients.

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

Explanation

A. Correct. Confirming the readback ensures accurate communication and understanding of the prescription.
B. It's the responsibility of the nurse receiving the prescription to document it in the medical record.
C. Withholding medication until the provider signs the prescription may delay needed treatment.
D. Correct. Asking the provider to spell out the medication name prevents errors due to miscommunication.
E. Correct. Recording the date and time of the telephone prescription is essential for documentation and accountability.

A. "Your health care surrogate will make decisions on your behalf if you are unable." B. "Once you have completed a living will, it cannot be changed." C. "You will need an attorney to appoint a health care surrogate." D. "You should appoint a family member as your health care surrogate."

Correct Answer is A

Explanation

A. Correct. A health care surrogate (also known as a health care proxy or agent. is designated by the individual to make medical decisions on their behalf if they are unable to do so. This individual should be someone the client trusts and is aware of the client's preferences.
B. Incorrect. A living will can be changed or updated by the individual at any time if their preferences change. It is important for the client to review and revise their living will as needed.
C. Incorrect. While legal assistance may be helpful, designating a healthcare surrogate does not necessarily require an attorney.
D. Incorrect. The choice of a healthcare surrogate is a personal decision, and the individual can choose any trusted person to fulfill this role, not just a family member.

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A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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