A nurse is contributing to the plan of care for an older adult client who has a decreased White Blood Cell (WBC) count of 2000. Which of the following interventions should the nurse include in the plan?
Serve cooked fruits and vegetables with meals.
Encourage ambulation around the unit to improve strength.
Recommend visitors send flowers and "get well" cards but limit face-to-face interactions.
Instruct the client to limit bathing.
The Correct Answer is A
A. Serving cooked fruits and vegetables reduces the risk of exposure to bacteria that can be present in raw produce, which is important for a client with leukopenia (WBC 2,000) to prevent infection.
B. Ambulation is beneficial for strength but does not directly address infection prevention in a client with low WBCs.
C. Limiting visitors entirely is not necessary; standard precautions and hand hygiene are sufficient to reduce infection risk.
D. Clients should maintain good hygiene, including bathing, to prevent skin infections; limiting bathing is not recommended.
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Related Questions
Correct Answer is D
Explanation
A. Gentamicin sulfate is an aminoglycoside antibiotic and is not chemically related to penicillin; it is not contraindicated.
B. Amphotericin B is an antifungal and does not share cross-reactivity with penicillin.
C. Erythromycin is a macrolide antibiotic and is safe for clients with penicillin allergy.
D. Amoxicillin-clavulanate is a penicillin derivative and is contraindicated in children with a known penicillin allergy due to the risk of an allergic reaction.
Correct Answer is B
Explanation
A. Cetirizine is not typically used as a sleep aid; this is a property more associated with first-generation antihistamines like diphenhydramine.
B. Cetirizine is a second-generation antihistamine that is less sedating than diphenhydramine, making it more suitable for daytime use in children.
C. Cetirizine does not treat nausea; its primary use is for allergic symptoms.
D. Cetirizine does not work faster than diphenhydramine; its main advantage is reduced sedation rather than speed of action.
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