A nurse is planning care for a client who has leukemia and is prescribed bed rest. Which of the following interventions should the nurse include in the plan?

Have the client perform pulmonary hygiene every 8 hr.

Place the client on airborne precautions.

Turn the client every 4 hr and apply powder to moist areas.

Assess the client's urine for odor and cloudiness.

Answer and Explanation

The Correct Answer is D

- Rationale for Choice A: Pulmonary hygiene is important for preventing pneumonia, especially in bedridden clients. However, it is not specific to the care of a client with leukemia unless they have a respiratory complication which necessitates such an intervention.
- Rationale for Choice B: Airborne precautions are typically used for clients who have infections that can be transmitted through the air, such as tuberculosis. Leukemia does not require airborne precautions unless the client has a coexisting airborne infection.
- Rationale for Choice C: Regular turning of the client can help prevent pressure ulcers and is a good practice for any bedridden patient. However, the use of powder is controversial as it can cake and lead to skin breakdown, and is not specifically indicated for leukemia care.
- Rationale for Choice D: Assessing the client's urine for odor and cloudiness is an important part of care for clients with leukemia. They are at increased risk for urinary tract infections due to immunosuppression, and changes in urine can indicate an infection that needs prompt treatment.

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Correct Answer is B

Explanation

Choice A rationale:

Upper abdominal pain is not a typical manifestation of diverticulitis. It is more commonly associated with conditions affecting the upper gastrointestinal tract.

Choice B rationale:

Rationale: Diverticulitis is characterized by inflammation or infection of diverticula (small pouches) in the colon. Manifestations of diverticulitis can include abdominal pain (usually left lower quadrant), fever, nausea, vomiting, and changes in bowel habits.

Abdominal distension may indicate worsening inflammation or complication of diverticulitis.

Choice C rationale: Clay-colored stools are more characteristic of liver or bile duct disorders, not diverticulitis.

Choice D rationale: Gastric reflux is not a common manifestation of diverticulitis. It is more related to gastroesophageal reflux disease (GERD) or other upper gastrointestinal issues.

A. Donepezil B. Chlordiazepoxide C. Naltrexone D. Buprenorphine

Correct Answer is A

Explanation

Choice A rationale:

Donepezil is a cholinesterase inhibitor that is commonly prescribed for individuals with Alzheimer's disease. It helps increase the levels of acetylcholine in the brain, which can temporarily improve cognitive function and slow the progression of cognitive decline in some individuals with Alzheimer's disease.

Choice B rationale: Chlordiazepoxide is a benzodiazepine medication used to treat anxiety and alcohol withdrawal symptoms. It is not indicated for the treatment of Alzheimer's disease and is not recommended due to its potential to cause sedation and cognitive impairment.

Choice C rationale: Naltrexone is an opioid receptor antagonist primarily used to treat opioid and alcohol dependence. It is not indicated for the treatment of Alzheimer's disease.

Choice D rationale: Buprenorphine is a partial opioid agonist used to treat opioid dependence and moderate to severe pain. It is not indicated for the treatment of Alzheimer's disease.

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A nurse is planning care for a client who has leukemia and is prescribed bed rest. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

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