A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching?
"Wash your toothbrush in the dishwasher once each month."
"Change your pet's litter box daily."
"Change the water in your drinking glass every 4 hours."
"Wash your perineal area two times each day with antimicrobial soap."
The Correct Answer is C
A. The nurse should recommend that the client avoid using a toothbrush that is not regularly disinfected. However, washing the toothbrush in the dishwasher may not be sufficient. The client should replace the toothbrush regularly and disinfect it appropriately.
B. Changing the pet's litter box daily is not safe for clients with an impaired immune system. The nurse should advise the client to avoid cleaning the litter box or, if necessary, to wear gloves and a mask while performing the task, and ask someone else to do it if possible.
C. Changing the water in the drinking glass every 4 hours is an important infection control measure for clients with compromised immune systems. Stagnant water can promote bacterial growth, which poses an increased risk for infection in immunocompromised clients.
D. Washing the perineal area two times each day with antimicrobial soap is unnecessary and may cause irritation or disrupt the natural flora of the skin. The nurse should recommend gentle cleansing with mild soap and water instead. Overuse of antimicrobial products can lead to skin damage or resistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Chloride levels are typically unaffected by acute gout. Chloride is an electrolyte that is regulated by the kidneys, and its levels are more commonly impacted by issues such as dehydration or acid-base imbalances, not gout.
B. Uric acid is elevated in acute gout. Gout is caused by the accumulation of uric acid crystals in the joints, and an increase in serum uric acid levels is a hallmark of the condition.
C. Intrinsic factor is involved in vitamin B12 absorption and is not related to acute gout. It is more relevant in conditions such as pernicious anemia.
D. Creatinine kinase is an enzyme related to muscle damage and is not typically elevated in gout. It is more commonly seen in conditions involving muscle injury or rhabdomyolysis.
Correct Answer is A
Explanation
A. A decrease in blood pressure is the correct finding that indicates telmisartan has been effective. Telmisartan is an angiotensin II receptor blocker (ARB) used primarily to treat hypertension, and its effectiveness is typically measured by a reduction in blood pressure.
B. A respiratory rate of 16/min is within the normal range for adults and does not indicate the effectiveness of telmisartan, as the medication primarily affects blood pressure and not respiratory function.
C. A blood glucose of 110 mg/dL is within the normal range and does not directly reflect the effectiveness of telmisartan. While ARBs like telmisartan may have some effect on glucose metabolism, blood glucose levels are not the primary indicator of its effectiveness.
D. An increase in urinary output is not directly related to the effectiveness of telmisartan. While ARBs can have some mild diuretic effects, the primary expected outcome is a reduction in blood pressure, not an increase in urine output.
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.