A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?

Soft-boiled eggs are an appropriate source of protein.

Bottled water is an appropriate choice to increase fluid intake

The salad bar is a healthy choice when dining out.

Eating at a buffet a good choice to increase caloric intake

Answer and Explanation

The Correct Answer is B

A. Soft-boiled eggs may pose a risk to individuals with neutropenia due to the potential for bacterial contamination (e.g., from undercooked eggs), which could lead to infection. It's generally safer to consume fully cooked eggs.
B. Bottled water is considered a safe choice for individuals with neutropenia because it is typically filtered and sealed, reducing the risk of bacterial contamination from tap water. Ensuring safe water intake is crucial for preventing infections in individuals with weakened immune systems.
C. Salad bars can be risky for individuals with neutropenia due to the potential for contaminated raw vegetables or improper food handling, which can lead to foodborne illnesses. Raw or unwashed vegetables may harbor harmful bacteria.
D. Buffets can be risky for individuals with neutropenia because the food may be left out at unsafe temperatures for extended periods, increasing the risk of contamination. Individuals with neutropenia should avoid foods from buffet-style setups.

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Correct Answer is A

Explanation

A. Assessing site daily for redness, swelling, or exudate at insertion site is crucial for detecting early signs of infection. A tunneled IV catheter, like a Hickman catheter, provides a direct route to the bloodstream, so infection at the insertion site can lead to serious complications such as sepsis. Regular monitoring is essential.
B. The catheter should be flushed regularly, but the standard protocol is usually to flush the catheter with saline or heparin more frequently (often every 7 days or after each use) and with a larger syringe (typically 10 mL) to prevent catheter damage. The frequency and method of flushing should be confirmed with institutional protocols and the healthcare provider.
C. Swelling in the neck or arm could indicate a complication like thrombosis or catheter occlusion, and it is important to notify the healthcare provider. However, this is not directly related to infection, so it's a more specific symptom rather than a broad teaching point about infection signs.
D. While the healthcare provider may monitor various lab values, the focus of teaching about infection would not be on hemoglobin and hematocrit. The main concern post-placement of a Hickman catheter is the risk of infection, not necessarily these specific lab values.

A. contacts a support group for tobacco cessation B. makes an appointment with his primary care provider as soon as possible. C. avoid highly seasoned or acidic foods while to wound is actively oozing. D. goes to an urgent care center to have his coagulation studies checked (PT/APTT/INR)

Correct Answer is B

Explanation

A. While tobacco cessation is important for overall health, the priority in this case is addressing the potentially serious issue of a persistent sore that has been oozing blood for a month. This could be indicative of oral cancer, particularly given the client's long history of tobacco use.
B. Making an appointment with his primary care provider as soon as possible is the most appropriate recommendation. A persistent, non-healing lesion, especially with bleeding, should be evaluated by a healthcare provider to rule out oral cancer or other serious conditions. Early detection and intervention are crucial.
C. While avoiding highly seasoned or acidic foods while the wound is actively oozing might help reduce irritation to the sore, it does not address the underlying concern of the potential cancerous lesion that needs to be evaluated by a healthcare provider.
D. Going to an urgent care center to have his coagulation studies checked is no indication that the client has a bleeding disorder, so checking coagulation studies is not the immediate priority. The focus should be on evaluating the sore for signs of cancer or other serious conditions.

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A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?

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Naxlex Comprehensive Predictor Exams

The nurse is preparing discharge teaching for a client newly diagnosed with cancer who just had a tunneled IV catheter (Hickman) placed. The nurse would include which information in the teaching plan regarding signs and symptoms of infection?

Correct Answer is A

Explanation

A 53-year-old works as a roofer & has chewed tobacco for 35 years. He tells the occupational health nurse that he has had a sore on his lip that been oozing blood for the past month. It is essential that the nurse recommends he;

Correct Answer is B

Explanation

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