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Nurse Alex is assigned to care for Paul, a patient with severely reduced neutrophil counts.
Which considerations should be included in Paul's care plan? (Select all that apply.)

A.

Incorporate a diet rich in fresh fruits.

B.

Strictly adhere to Standard Precautions.

C.

Refrain from placing live plants in Paul's room.

D.

Implement protective isolation measures.

E.

Install high-efficiency particulate air filters

Answer and Explanation

Correct Answer : B,C,D,E

A.    Avoid giving Paul a diet rich in fresh fruits, as they may contain harmful microorganisms that could cause infections. Instead, give him cooked or canned fruits that are safe to eat.
B.    Strict adherence to Standard Precautions, which include hand hygiene, wearing gloves, gowns, and masks when necessary, is crucial to prevent infections in immunocompromised patients.
C.    Do not place live plants in Paul's room, as they may harbor mold spores that could cause respiratory problems for Paul. Instead, use artificial plants or flowers that are easy to clean and disinfect.
 
D.    Protective isolation measures, such as placing the patient in a private room and using appropriate barriers, can help minimize the risk of exposure to infectious agents.
E.    Installing high-efficiency particulate air filters can help reduce airborne pathogens and allergens, which is important for patients with compromised immune systems.
 


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Related Questions

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

Explanation

A. Radical neck dissection is a surgical procedure that removes the lymph nodes and other structures in the neck, and it is usually reserved for advanced cases or when radiation therapy fails.
B. Radiation therapy is often the main treatment for laryngeal cancer, as it can preserve the voice of the patient and avoid surgery.
C. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor that can cause a dry cough as a side effect, but it does not need to be discontinued unless there is another indication.
D. A PET scan can help determine the extent of cancer spread and guide treatment planning.

E. Dietary counseling is important to prevent malnutrition and dehydration, as dysphagia can impair oral intake.

Correct Answer is A

Explanation

A. Exposure to strong odors can trigger reflex bronchoconstriction, leading to symptoms like difficulty breathing and chest tightness, especially in individuals with hypersensitive airways.
B. While the mucociliary clearance system plays a role in removing inhaled particles and irritants from the airways, it is not primarily responsible for acute symptoms like difficulty breathing.
C. Alveolar macrophages are involved in phagocytosis and defense against inhaled particles and pathogens but are not directly involved in causing acute respiratory symptoms like bronchoconstriction.
D. Chemoreceptors primarily regulate respiratory drive in response to changes in blood gases and pH but are not directly responsible for bronchoconstriction in response to odor exposure.

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