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 D
Explanation
A) This choice is incorrect because gentle stretching exercises are generally safe and do not significantly increase the risk of bleeding in clients with low platelet counts.
B) This choice is incorrect because deep vein thrombosis (DVT) prophylaxis, such as leg exercises and anti-embolism stockings, is essential to prevent blood clots but is not directly related to bleeding risk.
C) This choice is incorrect because using a soft-bristled toothbrush helps prevent gum bleeding and trauma to the oral mucosa but does not address the risk of bleeding from other areas.
D) This choice is correct. Vigorous nose blowing can lead to trauma to the nasal mucosa and increase the risk of bleeding, especially in clients with low platelet counts who are prone to bleeding episodes.
Correct Answer is C
Explanation
A) This choice is correct. Using a soft-bristled toothbrush helps prevent gum bleeding and trauma to the oral mucosa, reducing the risk of infection in clients with low platelet counts.
B) This choice is incorrect because during leukemia treatment, outdoor activities may expose the client to potential sources of infection. It is better to avoid crowded places and maintain good hand hygiene.
C) This choice is correct. Raw fruits and vegetables may carry bacteria and pathogens, and the client with leukemia, particularly those undergoing chemotherapy, is at a higher risk of infection. It is advised to thoroughly wash and cook fruits and vegetables before consumption.
D) This choice is incorrect because although emotional support from friends and family is essential, it is crucial to limit the number of visitors to reduce the risk of exposure to potential infections.
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