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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

Answer and Explanation

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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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

Option 1: Intracranial hemorrhage: The client’s recent fall, worsening headache, unilateral pupil dilation, right-sided weakness, and decreasing Glasgow Coma Scale (GCS) indicate a potential neurological injury, which is concerning for intracranial hemorrhage.

Option 2: Glasgow Coma Scale: The client's GCS has progressively declined (from 15 to 13), indicating a decrease in neurological function, which is critical in assessing intracranial pressure and risk for hemorrhage.

A. "My partner should sit at a 30° angle while eating their meals." B. "My partner should cough while swallowing food." C. "My partner should tilt their head forward when swallowing." D. "My partner should place their food on the weaker side of their mouth when eating." E. Causes joint stiffness

Correct Answer is C

Explanation

A. A 30° angle is too low and may increase the risk of aspiration; a 90° sitting position is preferred for safe swallowing.

B. Coughing while swallowing is not recommended as it may increase the risk of choking.

C. Tilting the head forward while swallowing helps to close the airway and reduce the risk of aspiration, which is crucial in dysphagia management.

D. Food should be placed on the stronger side to improve control and reduce aspiration risk.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client on a medical-surgical unit Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing dropdown as evidenced by the client's dropdown .

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

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Correct Answer is C

Explanation

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