A nurse is caring for an older adult client who has a WBC count of 2,000/mm after three rounds of chemotherapy. Which of the following actions should the nurse take?
Humidify the client's room.
Replace the water in flower vases with fresh water daily.
Clean dentures in a denture cup.
Serve cooked fruit with meals.
The Correct Answer is D
Choice A reason: Humidifying the client's room can help maintain mucous membrane integrity and prevent respiratory infections, which is crucial for a client with a low WBC count.
Choice B reason: Replacing the water in flower vases daily can prevent the growth of bacteria, reducing the risk of infection for an immunocompromised client.
Choice C reason: Cleaning dentures in a denture cup is a standard infection control practice that helps maintain oral hygiene and prevent infections.
Choice D reason: Serving cooked fruit with meals reduces the risk of transmitting infections that can be associated with raw fruits, which is important for a client with neutropenia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Decreased blood pressure can be a sign of many conditions, including gastrointestinal perforation, but it is not specific and can occur in various other medical situations.
Choice B reason: Hyperactive bowel sounds are generally not associated with gastrointestinal perforation. They can occur in conditions like gastroenteritis or early bowel obstruction.
Choice C reason: Sudden abdominal pain, especially in the upper abdomen, can be a sign of gastrointestinal perforation. This pain is often severe and can be accompanied by signs of peritonitis.
Choice D reason: Tachycardia, or rapid heart rate, may occur as a compensatory mechanism in response to internal bleeding or infection, which can be secondary to gastrointestinal perforation.
Correct Answer is A
Explanation
Choice A reason: Immunoglobulin E (IgE) is associated with allergic reactions. A RAST test measures the level of allergen specific IgE antibodies in the blood. An elevation in IgE indicates sensitization to a particular allergen and a positive result for the allergy.
Choice B reason: Immunoglobulin M (IgM) is usually the first antibody produced by the immune system when it detects an infection. It is not typically associated with the detection of allergies.
Choice C reason: Immunoglobulin A (IgA) plays a critical role in mucosal immunity and is found in high concentrations in the mucous membranes, particularly those lining the respiratory passages and the gastrointestinal tract, but it is not used as an indicator in RAST testing for allergies.
Choice D reason: Immunoglobulin G (IgG) is the most abundant type of antibody and is involved in the recognition and removal of pathogens. It is not specific to allergic response detection in RAST testing.
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