A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?
I might experience harmless white patches in my mouth.
I will expect to have a mild, occasional fever.
I will avoid people who have just received a live vaccine.
I will limit the use of skin cream to once a week.
The Correct Answer is C
Choice A reason:
The statement “I might experience harmless white patches in my mouth” could indicate the presence of oral thrush, a common fungal infection in immunocompromised individuals. However, this statement does not directly reflect an understanding of preventive measures or home care instructions for someone with immunodeficiency.
Choice B reason:
Expecting to have a mild, occasional fever is not a typical understanding of immunodeficiency care. While fevers can occur, they should not be considered normal or expected. Any fever in an immunocompromised person should be promptly evaluated by a healthcare provider as it could indicate an infection.
Choice C reason:
Avoiding people who have just received a live vaccine is a crucial preventive measure for individuals with immunodeficiency. Live vaccines contain a weakened form of the virus or bacteria, which can pose a risk to immunocompromised individuals. This statement shows an understanding of the need to avoid potential sources of infection.
Choice D reason:
Limiting the use of skin cream to once a week is not a standard recommendation for immunodeficiency care. Skin care is important, but the frequency of using skin cream should be based on individual needs and the type of cream used. This statement does not reflect a specific understanding of immunodeficiency management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Increased urinary output is not a typical manifestation of peritonitis. Peritonitis, especially in the context of peritoneal dialysis, does not usually affect urinary output directly. Instead, it primarily affects the peritoneal cavity and can lead to symptoms such as abdominal pain and tenderness.
Choice B reason: Hyperactive bowel sounds are not commonly associated with peritonitis. In fact, peritonitis can lead to decreased bowel sounds due to the inflammation and irritation of the peritoneum, which can cause paralytic ileus (a temporary cessation of bowel movements).
Choice C reason: Bradycardia (a slower than normal heart rate) is not a typical symptom of peritonitis. Peritonitis can cause systemic symptoms such as fever and tachycardia (an increased heart rate) due to the body’s inflammatory response to infection.
Choice D reason: Nausea and vomiting are common manifestations of peritonitis. The inflammation of the peritoneum can irritate the gastrointestinal tract, leading to these symptoms. Additionally, peritonitis can cause abdominal pain, tenderness, and distention, which are also associated with nausea and vomiting.
Correct Answer is ["1"]
Explanation
Step 1: Determine the total daily dose of vancomycin.
- Total daily dose = 50 mg
Step 2: Divide the total daily dose into four equal doses.
- Each dose = 50 mg ÷ 4
- Each dose = 12.5 mg
Step 3: Determine the amount of vancomycin available per capsule.
- Each capsule = 125 mg
Step 4: Calculate the number of capsules needed for each dose.
- Number of capsules per dose = 12.5 mg ÷ 125 mg
- Number of capsules per dose = (12.5 ÷ 125)
- Number of capsules per dose = 0.1
Step 5: Round the answer to the nearest whole number.
- Rounded number of capsules per dose = 0.1 (rounded to 0)
Since 0 capsules is not practical, the nurse should administer 1 capsule per dose to ensure the patient receives the medication.
So, the nurse should administer 1 tabletwith each dose.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.