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?

Water pitcher on client's bedside table

Client's urine in the bedside commode

Client's bed linens after use

Food tray and utensils from client's breakfast

Answer and Explanation

The Correct Answer is B

A. Water pitcher on client's bedside table: Water does not require special handling after chemotherapy. The nurse should ensure that the client has access to clean drinking water, but there are no special precautions for handling it.
B. Client's urine in the bedside commode: Client's urine after chemotherapy requires special handling, as it may contain cytotoxic drugs or their metabolites for up to 48 hours. Proper precautions, such as wearing gloves and using appropriate disposal methods, are necessary to avoid exposure.
C. Client's bed linens after use: Bed linens do not require special handling unless contaminated with bodily fluids such as urine or vomit that could contain chemotherapy drugs. Gloves should be worn, but no additional precautions are required unless the linens are contaminated.
D. Food tray and utensils from client's breakfast: Food trays and utensils do not require special handling after chemotherapy unless they are contaminated with body fluids. Normal cleaning and sanitation practices are sufficient.

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Correct Answer is A

Explanation

A. Place a mask on the client during the procedure: A mask should be placed on the client to reduce the risk of infection during the dressing change. Peritoneal dialysis involves accessing the peritoneal cavity, and maintaining a sterile environment is crucial to prevent contamination.

B. Cleanse the catheter site using a side-to-side motion: The catheter site should be cleansed using a circular motion starting from the site of insertion and moving outward. This helps avoid introducing bacteria into the insertion site. Side-to-side motion may push bacteria into the area.

C. Tape down the corners of the dressing: While securing the dressing is important, taping the corners may not provide the optimal seal and could risk introducing contaminants. The dressing should be secured properly, but not necessarily with just tape at the corners.

D. Secure an occlusive dressing over the gauze pads: An occlusive dressing over gauze pads is not ideal for peritoneal dialysis catheters. A sterile, breathable dressing is recommended to allow for proper airflow and prevent moisture accumulation, which can promote infection.

A. "I had symptoms of asthma when I was a child." B. "My parent has type 2 diabetes mellitus.” C. "I am not very good about taking prescribed medication.” D. "I wish my family was more supportive of my decision."

Correct Answer is C

Explanation

A. "I had symptoms of asthma when I was a child.": Childhood asthma is not a significant concern in end-stage liver disease or transplant eligibility. It does not have a direct impact on the client’s current health status or the potential success of the liver transplant.

B. "My parent has type 2 diabetes mellitus.": While family medical history is relevant, having a parent with type 2 diabetes mellitus is not a contraindication for liver transplantation. The client’s own health status and adherence to medical care are more important.

C. "I am not very good about taking prescribed medication.": Post-transplant care requires strict adherence to medications, especially immunosuppressive drugs, to prevent organ rejection. If the client has a history of nonadherence, this can jeopardize the success of the transplant.

D. "I wish my family was more supportive of my decision.": This statement pertains to psychosocial concerns and can be addressed with counseling or support services. It does not pose an immediate medical concern for the transplant process.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is changing the dressing for a client who is receiving peritoneal dialysis. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for a client who has end-stage liver disease and is being placed on a transplant list. Which of the following statements by the client is the priority for the nurse to report to the provider?

Correct Answer is C

Explanation

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