A nurse is preparing a teaching plan for a client who is on neutropenic precautions as a result of radiation therapy. Which of the following should the nurse plan to include in the teaching?

Bottled water is an appropriate choice to increase fluid intake.

The salad bar is a healthy choice when dining out.

Soft-boiled eggs are an appropriate source of protein.

Eating at a buffet is a good choice to increase caloric intake.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Bottled water is often recommended for patients on neutropenic precautions because it is generally free from microorganisms that could cause infections. Neutropenic patients have a reduced ability to fight infections due to low white blood cell counts, making them more vulnerable to contaminants that may be present in untreated or poorly treated water. By choosing bottled water, the patient minimizes the risk of ingesting harmful pathogens that could lead to serious infections. This is a crucial aspect of maintaining the health and safety of neutropenic patients. Additionally, bottled water provides a convenient and reliable way to ensure adequate hydration, which is essential for overall well-being and the body's natural defense mechanisms.

Choice B reason:

The salad bar is not a healthy choice for neutropenic patients due to the potential risk of contamination. Fresh produce, especially when not thoroughly washed, can harbor bacteria, fungi, and other pathogens that neutropenic patients may not be able to adequately defend against. Even if the salad bar appears clean and well-maintained, there is always a risk of cross-contamination from other diners or food handlers. Therefore, it is safer for neutropenic patients to avoid raw fruits and vegetables, particularly those from communal settings like salad bars, to minimize the risk of infection.

Choice C reason:

Soft-boiled eggs are not recommended for neutropenic patients because they are not fully cooked. Undercooked or raw eggs can be a source of harmful bacteria, such as Salmonella, which can cause severe infections in individuals with compromised immune systems. For neutropenic patients, it is important to consume only thoroughly cooked foods to eliminate any potential pathogens. Fully cooked eggs, where both the yolk and white are firm, would be a safer protein source for these patients, ensuring that any harmful bacteria are destroyed during the cooking process.

Choice D reason:

Eating at a buffet is not advisable for neutropenic patients due to the high risk of contamination. Buffets often involve multiple people handling serving utensils and food items, increasing the likelihood of cross-contamination. The communal nature of buffets makes it difficult to maintain strict hygiene standards, which is critical for neutropenic patients. The potential for exposure to pathogens from other diners or improperly maintained food temperatures can pose a significant risk. Therefore, it is safer for neutropenic patients to avoid buffets and opt for individually prepared and served meals to reduce the risk of infection.

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Correct Answer is A

Explanation

A reason:

Identifying delayed gastric emptying is correct. Measuring gastric residual volumes helps to assess whether the stomach is emptying properly. High residual volumes can indicate delayed gastric emptying, which can increase the risk of aspiration and other complications.

B reason:

Removing gastric acid to prevent dyspepsia is not the purpose of measuring gastric residuals. While managing gastric contents is important, the primary reason for checking residuals in this context is to assess gastric emptying.

C reason:

Determining electrolyte balance is not the purpose of measuring gastric residuals. Electrolyte balance is typically assessed through blood tests, not by measuring gastric residuals.

D reason:

Confirming the placement of the NG tube is not the purpose of measuring gastric residuals. Tube placement should be confirmed through initial radiographic verification and regular checks, such as auscultation and pH testing, rather than by measuring residual volumes.

A. A client with diarrhea after taking antibiotics for 10 days for a UTI B. A client with abdominal pain and a temperature of 102.4°F (39.1°C) C. A client with a productive cough that is blood tinged D. A client with a wound infection and draining pus-like drainage

Correct Answer is C

Explanation

A reason:

A client with diarrhea after taking antibiotics for 10 days for a UTI is not the most appropriate to assign to a private room. While this client may have an infection, diarrhea alone does not typically warrant isolation over other more contagious conditions.

B reason:

A client with abdominal pain and a fever may have an infection, but without more specific symptoms indicating a highly contagious disease, this client does not necessarily require a private room over others with more concerning symptoms.

C reason:

A client with a productive cough that is blood tinged is the most appropriate to assign to the private room. This client could have a highly contagious respiratory infection such as tuberculosis, which requires isolation to prevent the spread of infection to others in the hospital.

D reason:

A client with a wound infection and draining pus-like drainage needs careful management to prevent cross-contamination, but respiratory infections typically take precedence for private rooms due to their high contagion potential.

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A nurse is preparing a teaching plan for a client who is on neutropenic precautions as a result of radiation therapy. Which of the following should the nurse plan to include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is C

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