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 D

Explanation

A. Borderline personality disorder is part of Cluster B, which includes dramatic, emotional, or erratic disorders.
B. Paranoid personality disorder is part of Cluster A, which includes odd or eccentric disorders.
C. Antisocial personality disorder is part of Cluster B, as it involves manipulative and often harmful behaviors.
D. Dependent personality disorder is part of Cluster C, which is characterized by anxious and fearful behaviors. Individuals with dependent personality disorder exhibit a pervasive and excessive need to be taken care of, leading to submissive and clingy behaviors.

A. Hyperglycemia happens when 50% of alpha cells are damaged, B. Delta cell destruction causes type 1 diabetes mellitus. C. Beta cells are destroyed D. Beta cells need help producing insulin

Correct Answer is C

Explanation

A. Alpha cells produce glucagon, which raises blood glucose levels, but their destruction is not the primary cause of hyperglycemia in type 1 diabetes. The main issue is the destruction of beta cells, which are responsible for insulin production.
B. Delta cells produce somatostatin, which regulates the release of insulin and glucagon, but their destruction does not directly cause type 1 diabetes.
C. Type 1 diabetes mellitus occurs due to autoimmune destruction of beta cells in the pancreas. This leads to a lack of insulin production and results in hyperglycemia.
D. In type 1 diabetes, beta cells are destroyed, so they no longer need help producing insulin; they cannot produce insulin at all

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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

A nurse is discussing the three clusters of personality disorders. Which of the following personality disorders is part of cluster C?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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