A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?

Avoid crowds

Eat plenty of fresh fruits and vegetables

Take temperature weekly.

Perform mild exercise, such as gardening

Answer and Explanation

The Correct Answer is A

A. Avoid crowds - Neutropenic patients are highly susceptible to infections. Crowded places increase the risk of exposure to pathogens.

B. Eat plenty of fresh fruits and vegetables - While generally healthy, fresh fruits and vegetables can harbor bacteria, posing a risk for infection in neutropenic individuals. Cooked or properly washed and peeled produce is safer.

C. Take temperature weekly - Neutropenic patients should monitor their temperature daily, not weekly, to detect infections early.

D. Perform mild exercise, such as gardening - Gardening can expose individuals to soil-borne organisms that could lead to infections. Indoor exercises or those that don’t involve potential pathogen exposure are safer.

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Correct Answer is C

Explanation

A. Electrolyte abnormalities - These are not typically a direct complication of chronic wounds unless they are associated with severe infections or extensive fluid loss, which is uncommon.

B. Altered hemoglobin A1C - While chronic wounds are common in diabetics, the wound itself does not directly alter hemoglobin A1C; this test measures long-term blood glucose control.

C. Psychological distress - Chronic wounds can lead to significant emotional and psychological stress due to prolonged treatment, appearance issues, and limitations in activities.

D. Fluid volume overload - This is not a direct complication of chronic wounds. Chronic wounds might cause fluid loss due to exudate, but not fluid overload.

A. Keep family members aware of his condition. B. Talk with the client during wound care. C. Rotate nursing staff so he can have varied interactions. D. Assign assistive personnel to keep his room neat and clean.

Correct Answer is B

Explanation

A. Keep family members aware of his condition: While important, keeping family informed is not as directly impactful on the client’s emotional support as direct interaction with the client.

B. Talk with the client during wound care. Talking with the client during wound care can help to establish a trusting relationship, provide emotional support, and help the client cope with the pain and stress associated with burn treatment.

C. Rotate nursing staff so he can have varied interactions: Continuity of care is often more comforting to clients than having varied interactions.

D. Assign assistive personnel to keep his room neat and clean: This task is important for infection control but does not directly provide emotional support.

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A nurse is caring for a client in a medical-surgical unit.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

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A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a chronic wound. Which of the following is a potential complication of a chronic wound?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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