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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This choice is incorrect because stem cells used in transplantation are typically not extracted from the client's cancerous tissues.
B) This choice is correct. In a stem cell transplant, stem cells are collected from the bone marrow of a matched donor (allogeneic transplant) or the client themselves (autologous transplant). These stem cells are then infused into the client's bloodstream to replace the damaged bone marrow and produce healthy blood cells.
C) This choice is incorrect because stem cells used in transplantation are not taken from a tumor.
D) This choice is incorrect because stem cells used in transplantation are not harvested from the client's peripheral blood.
Correct Answer is B
Explanation
A) This choice is incorrect because mild fatigue and weakness are common symptoms in leukemia and may be expected in the client's condition.
B) This choice is correct. Bruising and petechiae are signs of decreased platelet count and potential clotting abnormalities, which can lead to bleeding complications. Immediate intervention is necessary to prevent serious bleeding.
C) This choice is incorrect because a weight loss of 2 pounds in a month is not alarming and can be caused by various factors unrelated to leukemia.
D) This choice is incorrect because occasional headaches and dizziness are not immediate concerns in leukemia and may have other causes.
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