A nurse is providing discharge teaching to a client undergoing chemotherapy who has developed neutropenia. Which of the following statements by the nurse is appropriate to include in the teaching?
"Avoid crowds and anyone who is sick."
"Gardening is a good way to stay active during recovery"
"You can enjoy fresh salads and fruit smoothies to stay healthy
"Take your temperature once a week and report any changes to your provider."
The Correct Answer is A
Rationale:
A. Avoiding crowds and contact with sick individuals is essential to reduce infection risk in neutropenic clients. This is an important teaching point.
B. Gardening can expose clients to soil bacteria and fungi, increasing infection risk and should be avoided during neutropenia.
C. Fresh salads and fruit smoothies can harbor bacteria and are generally discouraged during neutropenia unless properly prepared and approved by the healthcare provider.
D. Clients should take their temperature daily and report any fever promptly, as fever can be a sign of serious infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Perineal edema is not a common or primary sign associated with benign prostatic hypertrophy (BPH).
B. Distention of the lower abdomen indicates urinary retention, which is a common complication of BPH due to obstruction of urine flow.
C. Chest pain radiating to the groin is not related to BPH; it may suggest cardiac or vascular issues.
D. Urethral discharge is more indicative of infection or sexually transmitted diseases, not BPH.
Correct Answer is B
Explanation
Rationale:
A. Avoiding dry foods is not a specific recommendation for hiatal hernia unless the client also has difficulty swallowing; dry foods are not typically associated with reflux symptoms.
B. Eating smaller, more frequent meals reduces pressure on the stomach and helps prevent reflux symptoms in clients with hiatal hernia. This is a key dietary modification.
C. Antacids are usually taken after meals to neutralize existing acid, not before meals. Relying on OTC medications without provider guidance may mask symptoms.
D. Drinking fluids with meals, rather than only after, is generally acceptable. There is no strong evidence that delaying fluids significantly reduces symptoms.
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