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.)

Incorporate a diet rich in fresh fruits.

Strictly adhere to Standard Precautions.

Refrain from placing live plants in Paul's room.

Implement protective isolation measures.

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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Correct Answer is ["A","C","E"]

Explanation

A. This method involves scratching or pricking the skin with a small amount of the suspected allergen to observe any allergic reaction.
B. This method is not typically used for identifying allergens; it's more associated with oral challenges for diagnosing food allergies but is not recommended since it may cause severe anaphylaxis.
C. This method, known as intradermal testing, is less common than scratch tests and is typically used when scratch tests produce inconclusive results.
D. This method is not typically used for identifying allergens and can cause severe eye damage.
E. Patch testing involves applying patches containing allergens to the skin and observing for reactions. It's commonly used to identify contact allergens.

A. Start a cardiac rehabilitation program. B. Scoliosis screening C. Administer pain management protocols D. Respiratory assessment

Correct Answer is D

Explanation

A. While cardiac rehabilitation may be necessary for Timothy in the future due to his cardiomyopathy, his current symptoms and elevated creatine kinase levels warrant immediate attention to other potential complications.

B. While scoliosis screening may be necessary given Timothy's symptoms, it is not the most urgent priority.
C. Pain management may be necessary for Timothy, but his respiratory status should be assessed first to ensure adequate oxygenation.
D. Given Timothy's symptoms and potential complications such as respiratory muscle weakness associated with his elevated creatine kinase levels, a respiratory assessment is the most urgent priority to ensure proper oxygenation and ventilation

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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.)

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Naxlex Comprehensive Predictor Exams

Olivia, a 27-year-old patient, needs to undergo tests for suspected allergies. What methods are typically employed to identify allergens in Olivia's case? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

Timothy, 10, frequently falls and has a waddling gait. His creatine kinase is 4,000 U/L (normal is 22-198 U/L). Echocardiogram reveals early signs of cardiomyopathy. What is the most urgent nursing priority?

Correct Answer is D

Explanation

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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.)