A nurse is creating a plan of care for an immunosuppressed client. Which of the following precautions should the nurse include in the plan? (Select All that Apply.)
Dispose all linen in trash after use
Don a mask, gloves, and gown
Restrict visitors who have active infections
Instruct the client to eat cooked foods only
Limit the client from bathing daily
Correct Answer : B,C,D
A. Used linens do not need to be disposed of in the trash but should be laundered to prevent contamination.
B. Wearing a mask, gloves, and gown helps protect immunosuppressed clients from potential infections.
C. Restricting visitors who have active infections prevents the spread of infections to the client.
D. Instructing the client to eat only cooked foods reduces the risk of foodborne infections.
E. Limiting bathing is not necessary; in fact, good hygiene practices are essential to prevent infections.
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Related Questions
Correct Answer is C
Explanation
A. Pernicious anemia affects red blood cell production and does not typically cause blood-tinged urine.
B. Prostate enlargement may cause urinary retention or difficulty urinating, but it does not commonly lead to blood-tinged urine in a catheter bag.
C. A bladder infection (cystitis) can lead to hematuria (blood in the urine), especially when the bladder wall is inflamed.
D. Dehydration can cause concentrated urine but does not usually result in blood-tinged urine.
Correct Answer is B
Explanation
A. Auscultating blood pressure may not be as reliable in burn patients due to fluid shifts and potential damage to peripheral tissues.
B. Monitoring pulmonary artery pressure provides crucial information about the cardiovascular system's status, including fluid balance and cardiac function, which are essential in the care of clients with severe burns.
C. Palpating pulse pressure alone is insufficient for thorough cardiovascular monitoring in critically ill burn patients.
D. Central venous pressure provides information about fluid status but does not offer the comprehensive cardiovascular data needed for extensive burn management.
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