A nurse is caring for a client who received chemotherapy the day before. Which of the following items requires the nurse to implement special handling precautions?
Food tray and utensils from client's breakfast
Client's bed linens after use
Water pitcher on client's bedside table
Client's urine in the bedside commode
The Correct Answer is D
A. Food trays and utensils do not require special handling precautions.
B. Bed linens can be handled with standard precautions, using gloves and proper laundering. Regular linens are handled normally unless soiled with urine, stool, vomit, or blood.
C. Water pitchers are cleaned regularly but do not require special precautions. Environmental surfaces/items are not considered hazardous unless contaminated with body fluids.
D. Client’s urine may contain chemotherapy agents or their metabolites, so it requires special handling precautions to prevent exposure to hazardous drugs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. NPH insulin is cloudy due to the presence of protamine. It should be rolled gently between the hands to evenly distribute the particles before drawing it up.
B. Insulin can be stored at room temperature for up to 28 days after opening; it does not need to be refrigerated during daily use.
C. Air should be injected into the NPH vial first, not the regular insulin vial, to prevent contaminating the regular (clear) insulin with cloudy insulin.
D. You should draw up regular (clear) insulin first, then NPH (cloudy), to avoid contamination—not aspirate NPH first.
Correct Answer is B
Explanation
A. Serous drainage is not expected with a pneumothorax, which usually involves air in the pleural space, not fluid. If fluid is present, it would typically be minimal and possibly bloody if trauma is involved.
B. Tidaling (the rise and fall of water in the water seal chamber with the client's respirations) is an expected finding and indicates that the chest tube system is patent and responding to changes in intrathoracic pressure.
C. Tracheal deviation toward the unaffected side is a sign of a tension pneumothorax, which is a medical emergency, not an expected finding after chest tube placement.
D. Diminished breath sounds in the lung base may occur with a pleural effusion but are not the typical expected outcome following a chest tube for pneumothorax. Breath sounds should gradually improve as the lung re-expands.
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