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. While the Morse Fall Risk scale is important for assessing fall risk, it is not the priority after an ORIF procedure. The client’s neurovascular status should be closely monitored to prevent complications.
B. A neurovascular assessment is the priority after an ORIF of the femur. This includes checking for circulation, sensation, and movement (CSM) in the affected leg to ensure there is no compromise to the blood flow or nerve function. This is crucial to detect complications like compartment syndrome or circulatory impairment early.
C. The Braden scale is used to assess the risk for pressure ulcers and is important but not the priority after surgery. Neurovascular status takes precedence in the postoperative period.
D. Pain assessment is important for managing the client’s comfort, but it is secondary to ensuring proper neurovascular function to prevent further complications such as ischemia or nerve damage.
Correct Answer is ["69"]
Explanation
Convert pounds to kilograms: There are approximately 2.2 pounds in 1 kilogram.
190 lb / 2.2 lb/kg = 86.36 kg (approximately)
Calculate protein needs based on RDA: The RDA is 0.8 g/kg.
86.36 kg x 0.8 g/kg = 69.09 g
Round to the nearest whole number:
69 g
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