A patient is on isolation for neutropenia. What statement made by the patient requires additional education from the nurse?

"I will avoid individuals who were recently vaccinated."

“I can have visitors so long as they are healthy."

“I can have fresh flowers brought in.”

“I should avoid soft cheese.”

Answer and Explanation

The Correct Answer is A

A. "I will avoid individuals who were recently vaccinated." Patients with neutropenia should avoid live vaccines and exposure to individuals who recently received live vaccines (e.g., MMR, varicella) due to the risk of infection.

B. "I can have visitors so long as they are healthy." This is an appropriate statement. Visitors who are completely healthy and follow proper infection control measures can visit a neutropenic patient.

C. "I can have fresh flowers brought in." Fresh flowers and plants should be avoided due to the risk of fungal or bacterial contamination in the soil and water, which could lead to infection in an immunocompromised patient.

D. "I should avoid soft cheese." Patients with neutropenia should avoid unpasteurized soft cheeses (e.g., Brie, feta, blue cheese) as they can contain Listeria and other bacteria that pose a risk of infection.

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Correct Answer is D

Explanation

A. The relationship occurs spontaneously: Therapeutic relationships are intentional and structured, unlike spontaneous social interactions.

B. It is based on the needs of the nurse: The relationship is centered on the needs of the client, not the nurse.

C. The nurse and client will have a social relationship: A therapeutic nurse-client relationship is professional, not social. It focuses on supporting the client’s well-being.

D. The nurse is accountable for the outcome: The nurse is responsible for maintaining professional boundaries and ensuring that the relationship supports the client’s health goals.

A. It is painful to sit on a bedpan. B. The position encourages the Valsalva maneuver. C. The position does not facilitate downward pressure. D. The cause is unknown and requires further study.

Correct Answer is C

Explanation

A. It is painful to sit on a bedpan. Discomfort may be a factor, but pain alone does not explain the difficulty in having a bowel movement.
B. The position encourages the Valsalva maneuver. The Valsalva maneuver (straining against a closed airway) can occur in any position, but posture is the primary problem here.
C. The position does not facilitate downward pressure. The seated position allows for gravity and proper abdominal muscle engagement, making defecation easier. Lying down does not facilitate intra-abdominal pressure.
D. The cause is unknown and requires further study. The relationship between position and defecation is well understood in physiology.

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Stoma Assessment	Stoma is protruding 2cm, is red and moist. Peristomal area is clean and intact.
Output	Liquid stool that is malodorous. Gas present in the appliance.
General Status	Patient is avoiding looking at the ileostomy during care.
Laboratory Data	Potassium 3.6 mEq/L (normal 3.5 to 5 mEq/L) Sodium 137 mEq/L (normal 135 to 145 mEq/L) Creatinine 0.9 mg/dL (normal 0.6 to 1.2 mg/dL)

A patient is on isolation for neutropenia. What statement made by the patient requires additional education from the nurse?

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Naxlex Comprehensive Predictor Exams

The nurse is attempting to develop a therapeutic nurse-client relationship with a newly admitted client. What expectations does the nurse have when developing the relationship?

Correct Answer is D

Explanation

A client is having difficulty having a bowel movement laying on the bedpan. What is the physiologic reason for this problem?

Correct Answer is C

Explanation

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