A nurse is monitoring a client undergoing chemotherapy for leukemia. The client's white blood cell (WBC) count is significantly low. Which intervention should the nurse implement to protect the client from infection?
Encourage daily aerobic exercise
Administer intramuscular (IM) vaccinations
Place the client in a private room with negative pressure
Limit the number of healthcare providers entering the client's room
The Correct Answer is C
A) This choice is incorrect because while aerobic exercise is beneficial for overall health, it may not directly protect the client from infection in the context of low WBC count during chemotherapy.
B) This choice is incorrect because during chemotherapy, live vaccines should be avoided as they can pose a risk to immunocompromised clients with low WBC counts.
C) This choice is correct. Placing the client in a private room with negative pressure helps reduce the risk of exposure to infectious agents, especially in immunocompromised clients with low WBC counts who are at higher risk of infection.
D) This choice is incorrect because limiting the number of healthcare providers entering the client's room may be beneficial to reduce the risk of exposure to potential infections, but placing the client in a private room with negative pressure is a more comprehensive measure.
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Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because stimulating the production of red blood cells in the bone marrow is not the primary purpose of immunotherapy.
B) This choice is incorrect because suppressing the immune system is not the primary purpose of immunotherapy in leukemia treatment. In fact, immunotherapy aims to enhance the immune system's ability to recognize and target cancer cells.
C) This choice is correct. Immunotherapy is used to boost the body's natural defense mechanisms, particularly the immune system, to better recognize and attack leukemia cells.
D) This choice is incorrect because inhibiting the growth of cancerous tumors is not the primary purpose of immunotherapy. Other treatment approaches, such as chemotherapy or targeted therapy, may be used for this purpose.
Questions
Correct Answer is D
Explanation
A) This choice is incorrect because while a complete blood count (CBC) is an important initial screening test for leukemia, it alone is not definitive for diagnosis. A CBC may show abnormal levels of blood cells, prompting further investigation, including a bone marrow biopsy.
B) This choice is incorrect because a urinalysis is not used to diagnose leukemia. It is a test used to evaluate kidney function and detect urinary abnormalities.
C) This choice is incorrect because a chest X-ray is not a definitive diagnostic tool for leukemia. It is primarily used to assess the lungs and chest organs for conditions such as pneumonia or tumors.
D) This choice is correct. A bone marrow biopsy is a definitive diagnostic tool to confirm leukemia. In this procedure, a small sample of bone marrow is taken from the hipbone or breastbone and examined under a microscope to determine if leukemia cells are present. It allows for the identification of abnormal cells in the bone marrow, helping to establish the diagnosis and type of leukemia.
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