A nurse is teaching a client with leukemia about preventing infection during treatment. Which instruction should the nurse include in the teaching plan?

"Use a soft-bristled toothbrush for oral care."

"Participate in frequent outdoor activities to promote wellness."

"Avoid eating raw fruits and vegetables."

"Invite friends and family for regular visits to lift your spirits."

Answer and Explanation

The Correct Answer is C

A) This choice is correct. Using a soft-bristled toothbrush helps prevent gum bleeding and trauma to the oral mucosa, reducing the risk of infection in clients with low platelet counts.

B) This choice is incorrect because during leukemia treatment, outdoor activities may expose the client to potential sources of infection. It is better to avoid crowded places and maintain good hand hygiene.

C) This choice is correct. Raw fruits and vegetables may carry bacteria and pathogens, and the client with leukemia, particularly those undergoing chemotherapy, is at a higher risk of infection. It is advised to thoroughly wash and cook fruits and vegetables before consumption.

D) This choice is incorrect because although emotional support from friends and family is essential, it is crucial to limit the number of visitors to reduce the risk of exposure to potential infections.

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Correct Answer is B

Explanation

A) This choice is incorrect because a complete blood count (CBC) provides information about the number of blood cells, but it does not directly assess the bone marrow for leukemia.

B) This choice is correct. Bone marrow aspiration and biopsy involve the collection of bone marrow samples from the sternum or hip bone. These samples are then analyzed to determine the presence of leukemia cells, assess cell morphology, and determine the type of leukemia.

C) This choice is incorrect because flow cytometry analysis is used to identify specific markers on the surface of cells and can aid in diagnosing and classifying leukemia. However, it is not the primary test used to assess the bone marrow directly.

D) This choice is incorrect because magnetic resonance imaging (MRI) is not commonly used to assess bone marrow in the diagnostic evaluation of leukemia.

A. Administering pain medication for bone pain B. Monitoring for signs of bleeding or bruising C. Implementing strict isolation precautions D. Avoiding invasive procedures and injections

Correct Answer is C

Explanation

A) This choice is incorrect because administering pain medication for bone pain is important for the client's comfort, but it is not the priority in this situation. Neutropenia is characterized by a low neutrophil count, which can lead to an increased risk of infection.

B) This choice is incorrect because while monitoring for signs of bleeding or bruising is essential for a client with thrombocytopenia (low platelet count), it is not the priority in this scenario. Neutropenia increases the risk of infection, which is the primary concern.

C) This choice is correct. Implementing strict isolation precautions is the priority for a client with neutropenia. Neutropenia results in a decreased ability to fight off infections, so measures to prevent exposure to potential pathogens are crucial in reducing the risk of infection.

D) This choice is incorrect because avoiding invasive procedures and injections is a precaution for clients with thrombocytopenia, not specifically neutropenia. While both conditions involve low blood cell counts, the risk of infection is the primary concern in neutropenia.

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A nurse is teaching a client with leukemia about preventing infection during treatment. Which instruction should the nurse include in the teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for a diagnostic procedure to confirm leukemia. Which test is commonly used to assess the client's bone marrow?

Correct Answer is B

Explanation

A nurse is providing care for a client undergoing treatment for leukemia. The client develops neutropenia. What is the nurse's priority intervention?

Correct Answer is C

Explanation

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