A nurse is planning the care of a client who requires immunosuppression to ensure engraftment of depleted bone marrow during a transplantation procedure. What is the most important component of infection control in the care of this client?

Thorough and consistent hand hygiene

Antibiotic administration

Administration of IVIG

Appropriate use of gloves and goggles

Answer and Explanation

The Correct Answer is A

A. Thorough and consistent hand hygiene: Hand hygiene is the most effective infection control measure for immunocompromised patients. It prevents the transmission of pathogens, reducing the risk of infections. This is critical when the immune system is suppressed.

B. Antibiotic administration: Antibiotics are important but secondary to infection prevention. While they treat infections, they cannot prevent them from occurring in the first place. Infection control practices, like hand hygiene, are the first line of defense.

C. Administration of IVIG: IVIG can help boost immune function but doesn't replace infection control. It offers passive immunity, but it can't prevent all infections. Hygiene practices are essential, even with IVIG administration.

D. Appropriate use of gloves and goggles: Gloves and goggles protect against exposure, but they aren’t as effective as hand hygiene. While they are important, they are not enough to fully prevent infections. Hand hygiene remains the priority.

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Correct Answer is C

Explanation

A. Pigeon: A pigeon chest, or pectus carinatum, is a deformity where the breastbone protrudes outward; it is typically a congenital condition which is unrelated to COPD.

B. Funnel: A funnel chest, or pectus excavatum, is a condition where the breastbone is sunken or caved-in, and it is not typically seen in clients with COPD.

C. Barrel: A barrel chest is a classic finding in clients with COPD, particularly in emphysema. The hyperinflation of the lungs leads to an increase in the anterior-posterior chest diameter, resulting in a rounded, "barrel-shaped" chest.

D. Kyphotic: Kyphosis refers to an abnormal curvature of the spine, resulting in a rounded back. While this can affect posture, it is not a typical feature of COPD. The focus in COPD is on the chest shape related to lung hyperinflation (barrel chest).

A. "I will eat five or six small meals each day." B. "I will take my bronchodilators after meals." C. "I will choose foods that are not gas-forming." D. "I will rest for at least 30 minutes before eating."

Correct Answer is B

Explanation

A. "I will eat five or six small meals each day.": Eating smaller, more frequent meals is recommended for clients with chronic obstructive pulmonary disease (COPD). It helps prevent feeling too full and improves breathing during meals.

B. "I will take my bronchodilators after meals.": Bronchodilators should typically be taken before meals, not after. Taking bronchodilators before meals helps open the airways, making breathing easier during eating and improving oxygen intake.

C. "I will choose foods that are not gas-forming.": Gas-forming foods, such as beans and cruciferous vegetables, can cause bloating and discomfort, which can exacerbate breathing difficulties in clients with COPD.

D. "I will rest for at least 30 minutes before eating.": Resting before meals is helpful for conserving energy and preventing shortness of breath during eating. It is a good practice for clients with COPD, allowing them to breathe more comfortably while eating.

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A nurse is planning the care of a client who requires immunosuppression to ensure engraftment of depleted bone marrow during a transplantation procedure. What is the most important component of infection control in the care of this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has COPD. The nurse should expect the client's chest to be which of the following shapes?

Correct Answer is C

Explanation

A nurse is teaching a client who has chronic obstructive pulmonary disease about ways to facilitate eating. Which of the following statements indicates a need for further teaching?

Correct Answer is B

Explanation

A patient develops gastrointestinal bleeding from a gastric ulcer and requires blood transfusions. The patient states to the nurse, "I am not going to have a transfusion because I don't want to get AIDS." What is the best response by the nurse?

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