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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A reason:
Swabbing an area of skin away from the wound is incorrect. The culture should be obtained from the wound itself to identify the pathogens causing the infection.
B reason:
Irrigating the wound with an antiseptic prior to obtaining the specimen can kill the bacteria and result in an inaccurate culture. Sterile saline is used to cleanse the wound without affecting the sample.
C reason:
Cleansing the wound with 0.9% sodium chloride saline irrigation is correct. This helps to remove surface contaminants without killing the bacteria in the wound, ensuring an accurate culture.
D reason:
Including intact skin at the wound edges in the culture is not necessary. The focus should be on the infected area within the wound.
Correct Answer is D
Explanation
A reason:
Using each cleansing wipe twice is not correct procedure. Cleansing wipes should be used once and then discarded to maintain cleanliness and avoid contamination of the sample.
B reason:
Urinating a little and then stopping is part of the procedure, but the client should also understand the importance of cleansing. While stopping the stream initially is correct, it is not sufficient alone without proper cleansing.
C reason:
Cleaning the inside of the container with a wipe is incorrect. The inside of the container should remain sterile, and cleaning it with a wipe could introduce contaminants. The container is designed to be clean and sterile inside.
D reason:
Using the cleansing wipe from front to back is correct. This method ensures that bacteria from the anal area do not contaminate the urethral opening, which helps to collect a clean midstream urine sample.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.