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 ["B","C","D"]

Explanation

A. Pain medication administration: Pain medications, while necessary, do not directly increase the risk of dehiscence.

B. Poor nutritional state: Adequate nutrition is essential for wound healing. Malnutrition can weaken tissue strength and delay healing.

C. Wound infection: Infection can weaken the tissue at the wound site, increasing the risk of dehiscence.

D. Obesity: Excess body weight can put pressure on the wound, making it more likely to open.

E. Altered mental status: This does not directly increase the risk of wound dehiscence.

A. Allergic B. Acute pain C. Febrile D. Hemolytic

Correct Answer is D

Explanation

A. Allergic: Allergic reactions typically involve symptoms such as hives, itching, and sometimes anaphylaxis, but not usually fever, chills, or hematuria (red-tinged urine).

B. Acute pain: Acute pain transfusion reaction is characterized by severe pain but not usually accompanied by fever, chills, or hematuria.

C. Febrile: Febrile reactions involve fever and chills but do not typically include red-tinged urine, which indicates hemolysis of red blood cells.

D. Hemolytic: A hemolytic transfusion reaction involves the destruction of red blood cells, leading to fever, chills, and red-tinged urine due to the presence of hemoglobin from lysed red cells in the urine.

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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 teaching a newly licensed nurse about the risk factors for dehiscence for clients who have surgical incisions. Which of the following factors should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen minutes following the start of the transfusion, the nurse notes that the client is febrile, with chills and red-tinged urine. Which of the following transfusion reactions should the nurse suspect?

Correct Answer is D

Explanation

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