The nurse is caring for a patient with leukemia who is experiencing neutropenia as a result of chemotherapy. Which action should the nurse include in the plan of care for this patient?

Restricting fluid intake

Inserting an indwelling urinary catheter to prevent skin breakdown

Restricting visitors with communicable illnesses

Replacing hand hygiene with gloves

Answer and Explanation

The Correct Answer is C

A. Restricting fluid intake is not necessary for a patient with neutropenia. In fact, maintaining adequate hydration is essential, especially when managing the effects of chemotherapy.
B. Inserting an indwelling urinary catheter increases the risk of infection and should only be done when absolutely necessary, especially in patients with neutropenia who are at increased risk of infections.
C. Neutropenic patients have a decreased ability to fight infections, so it is crucial to restrict visitors who have communicable illnesses to prevent the patient from becoming infected.
D. Hand hygiene is essential, and gloves should not replace proper hand washing. The nurse should wash hands before and after patient contact to prevent infection, not simply wear gloves.

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Correct Answer is B

Explanation

A. Ingesting food containing a disease-carrying organism refers to foodborne transmission, not airborne transmission.
B. Airborne transmission involves pathogens that are carried through the air in tiny droplets or dust particles, which can be inhaled into the lungs, as stated correctly in option B.
C. Direct contact with a pathogen is associated with contact transmission, not airborne.
D. Being bitten by a tick or insect refers to vector-borne transmission, not airborne transmission.

A. "Experiencing or witnessing a traumatic event can result in developing a trauma-related disorder." B. "Developing a traumatic disorder requires an experience of physical harm, C. "Developing a trauma-related disorder is the result of a chemical imbalance in the brain. D. "Developing a trauma-related disorder is the result of genetics; people are born that way

Correct Answer is A

Explanation

A. Trauma-related disorders, such as PTSD or acute stress disorder, can develop after experiencing or witnessing a traumatic event, even if there is no physical harm. Events such as violence, natural disasters, abuse, or accidents can be triggers.
B. Physical harm is not required for a trauma-related disorder to develop. Psychological and emotional trauma alone can be sufficient.
C. While neurobiological factors may play a role in how trauma affects the brain, trauma-related disorders are primarily triggered by traumatic experiences, not solely by a chemical imbalance.
D. Although genetic predispositions may influence vulnerability, people are not simply born with trauma-related disorders; they develop as a response to traumatic events.

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The nurse is caring for a patient with leukemia who is experiencing neutropenia as a result of chemotherapy. Which action should the nurse include in the plan of care for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient about the different routes of transmission. Which patient statement indicates correct understanding of airborne transmission?

Correct Answer is B

Explanation

A nurse is covering a phone triage line for trauma and crisis support. A client on the phone asks, "Can you help me understand how trauma-related disorders develop?" Which of the following responses by should the nurse provide?

Correct Answer is A

Explanation

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