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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 B

Explanation

A. Obtaining a dietary history is relevant for ongoing management but is not the initial priority.

B. Reviewing electrolyte values is essential because exacerbations of ulcerative colitis can lead to severe fluid and electrolyte imbalances, which need prompt correction.

C. Investigating emotional concerns is important but does not take precedence over addressing potential electrolyte imbalances that can be life-threatening.

D. Checking perianal skin integrity is relevant for comfort but is not the priority in stabilizing the client during an acute exacerbation.

A. Exercise B. Infection C. Pregnancy D. Sunlight

Correct Answer is A

Explanation

A. While excessive strenuous exercise can potentially worsen symptoms, regular moderate exercise is generally beneficial for clients with SLE, helping maintain joint flexibility and muscle strength.

B. Infections can exacerbate SLE symptoms and lead to flares due to immune system involvement.

C. Pregnancy can also exacerbate SLE due to hormonal changes affecting the immune system.

D. Sunlight is known to trigger flares in SLE due to photosensitivity.

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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.)

Nursing Test Bank

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