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
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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Related Questions
Correct Answer is C
Explanation
A. Hematological disorders can influence the development of certain cancers (such as leukemia), but it is not a general cause of most cancers.
B. Endocrine system disorders can sometimes contribute to hormone-driven cancers (e.g., breast or prostate cancer), but it is not the primary cause of all cancers.
C. Immune system dysfunction can lead to an increased risk of cancer. The immune system is responsible for identifying and destroying abnormal cells, so when the immune system is compromised (e.g., by immunosuppression), cancer can develop more easily.
D. Gastrointestinal system disorders may contribute to cancers of the digestive tract (e.g., colon cancer), but the statement does not reflect the broader pathogenesis of cancer, which involves complex genetic and cellular mutations.
Correct Answer is C
Explanation
A. Acinetobacter baumannii is an opportunistic pathogen often associated with hospital-acquired infections, but it is not the most prevalent due to the use of unnecessary antibiotics.
B. Clostridioides difficile (C. diff) infections are largely the result of broad-spectrum antibiotic use, but it is not the most prevalent pathogen overall in the U.S.
C. MRSA (Methicillin-resistant Staphylococcus aureus) is one of the most common and prevalent antibiotic-resistant bacteria in the U.S. It has become more widespread due to overuse and misuse of antibiotics.
D. Vancomycin-resistant Enterococci (VRE) is another significant pathogen related to antibiotic resistance, but it is less prevalent compared to MRSA.
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