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 a bone marrow biopsy is not performed to remove a tumor mass. The purpose of the procedure is to obtain a sample of bone marrow tissue for diagnostic evaluation.
B) This choice is incorrect because assessing the presence of circulating cancer cells in the bloodstream is typically done through a blood test, not a bone marrow biopsy. The biopsy provides direct information about the condition of the bone marrow.
C) This choice is incorrect because evaluating the overall blood cell count and differential is typically done through a complete blood count (CBC) test, not a bone marrow biopsy. The biopsy provides more detailed information about the bone marrow and its cellular composition.
D) This choice is correct. The primary purpose of a bone marrow biopsy is to obtain a sample of bone marrow tissue for examination under a microscope. This allows healthcare professionals to assess the presence of abnormal cells, determine the type and extent of leukemia, and guide treatment decisions.
Correct Answer is B
Explanation
A) This choice is incorrect because leukemia is not primarily caused by exposure to infectious agents. While some viral infections may increase the risk of certain types of leukemia, infectious agents are not the main cause.
B) This choice is correct. The exact cause of leukemia is not fully understood, and it can vary among individuals. It is believed to result from a combination of genetic mutations and environmental factors, but no single cause has been identified for all cases.
C) This choice is incorrect because while genetic mutations can play a role in the development of some types of leukemia, they are not the only cause. Environmental factors and other unknown factors also contribute to leukemia.
D) This choice is incorrect because while environmental toxins and pollution may be risk factors for some individuals, they are not the leading factors in all cases of leukemia.
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