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 D

Explanation

A. Hospice care is intended for clients who are no longer pursuing curative treatment. The focus shifts from curing the disease to providing comfort, pain management, and emotional support at the end of life.

B. Hospice care is specifically for individuals who have a prognosis of 6 months or less to live, assuming the illness runs its normal course. This eligibility criterion is central to receiving hospice services.

C. Hospice care can be provided in various settings, including the client’s home, a hospice facility, a hospital, or a long-term care facility. Admission to a specific facility is not a requirement.

D. Hospice care focuses on symptom management, pain control, and quality of life for clients who are terminally ill. The interdisciplinary hospice team addresses the physical, emotional, spiritual, and social needs of the client.

A. The stoma will be edematous in appearance. B. Bowel sounds will be hyperactive. C. The colostomy appliance will need to be replaced D. The colostomy will be producing fecal matter from the proximal stoma and mucus from the distal stoma.

Correct Answer is A

Explanation

A. The stoma will be edematous in appearance; this is an expected finding 24 hours after surgery. Mild to moderate edema is normal due to surgical manipulation and should gradually decrease over time.
B. Bowel sounds are often hypoactive or absent immediately post-op due to anesthesia and bowel manipulation, not hyperactive.
C. The colostomy appliance typically remains in place unless there's a leak or issue; routine replacement is not expected at 24 hours post-op.
D. A descending end colostomy involves only one stoma from the proximal end of the bowel; there is no distal stoma, so this option does not apply.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care?

Correct Answer is D

Explanation

The nurse is assessing a client who is 24-hours post-op after creation of a descending end colostomy due to colon cancer. Which of the following is an expected finding for this client?

Correct Answer is A

Explanation

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