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."

Answer and Explanation

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.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"C"}}

Explanation

Rationale:

Metoprolol: Metoprolol is commonly prescribed in acute myocardial infarction (MI) to reduce heart rate and decrease myocardial oxygen demand. It is indicated for this client who is presenting with symptoms of a potential MI, including tachycardia and chest pain.
Oxygen at 2 L/min via nasal cannula: Oxygen therapy is indicated to increase oxygen supply to the myocardium and help relieve symptoms of hypoxia, especially in a client with chest pain and shortness of breath.
Draw electrolytes along with Hgb and Hct: Electrolytes should be checked to monitor for imbalances that can occur during a myocardial infarction or as a result of treatment (e.g., potassium levels). Hgb and Hct levels are also relevant for assessing overall oxygen-carrying capacity and fluid status.
Morphine 6 mg IV bolus every 3 hr as needed for pain: Morphine is a common analgesic used in MI management to relieve pain and reduce anxiety, which can decrease the workload on the heart.
Nitroglycerin 0.4 mg SL now may repeat every 5 min up to 3 doses: Nitroglycerin is used to relieve chest pain by dilating coronary arteries and improving blood flow to the heart. This prescription is appropriate for the client, assuming there are no contraindications (e.g., hypotension).
Obtain daily weight: While monitoring weight is important in managing heart failure, it is not immediately essential for this acute MI situation. Therefore, this is nonessential at this time.
Atropine 0.5 mg IV bolus every 5 min up to 2 mg: Atropine is used to treat bradycardia. However, the client is presenting with tachycardia, not bradycardia, so atropine would be contraindicated in this situation.

A. Avocados B. Strawberries C. Shellfish D. Eggs

Correct Answer is D

Explanation

A. Avocado allergies are linked to latex allergies, not propofol.
B. Strawberry allergies are associated with latex sensitivity, not propofol.
C. Shellfish allergies are commonly linked to iodine contrast reactions, not propofol.
D. Propofol contains egg lecithin and soybean oil, so clients with egg or soy allergies may be at risk for an allergic reaction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"C"}}

Explanation

A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?

Correct Answer is D

Explanation

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