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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason: Urine specific gravity measures the kidney's ability to concentrate urine. A normal range is typically 1.005–1.030. A value of 1.020 indicates adequate hydration and suggests that the patient is responding well to IV fluid therapy.

Choice B reason: Serum sodium levels reflect electrolyte balance. The normal range is 135–145 mEq/L. A level of 165 mEq/L is significantly elevated, indicating hypernatremia, which could be a sign of inadequate hydration and not a positive response to treatment.

Choice C reason: Hematocrit represents the proportion of blood volume occupied by red blood cells. Normal ranges are 38.3–48.6% for men and 35.5–44.9% for women. A hematocrit of 48% is at the upper limit of normal and does not specifically indicate the effectiveness of dehydration treatment.

Choice D reason: Blood urea nitrogen (BUN) levels can indicate renal function and hydration status. The normal range is 7–20 mg/dL. A BUN of 12 mg/dL is within the normal range and does not specifically reflect the patient's response to IV fluids for dehydration.

A. Tennis B. Swimming C. Custom: NUR 224G Sec 2 Blandon Final D. Rowing

Correct Answer is B

Explanation

Choice A reason: Tennis involves abrupt lateral movements and may not be suitable for someone with low back pain, as it can exacerbate the condition.

Choice B reason: Swimming is a low impact exercise that can help strengthen the back muscles without putting additional stress on the spine, making it an ideal choice for individuals with low back pain.

Choice C reason: The option "Custom: NUR 224G Sec 2 Blandon Final" does not refer to a specific exercise and seems to be an error or unrelated text.

Choice D reason: Rowing can be strenuous on the lower back due to the repetitive motion and the need for strong core engagement, which might not be recommended for acute low back pain.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is B

Explanation

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