The nurse is providing care for the following patients. Which patient is at highest risk of developing an infection?
46-year-old with a low neutrophil count
59-year-old seven days post abdominal surgery
82-year-old with a history of leukemia ten years ago
62-year-old on antibiotic therapy
The Correct Answer is A
A. 46-year-old with a low neutrophil count: Neutrophils are essential for fighting infection. A low neutrophil count (neutropenia) significantly increases infection risk, making this the highest-priority patient.
B. 59-year-old seven days post abdominal surgery: While postoperative patients are at risk for infection, the greatest risk is within the first few days after surgery. By day seven, the risk decreases if no signs of infection are present.
C. 82-year-old with a history of leukemia ten years ago: While leukemia can affect the immune system, a history of leukemia from ten years ago is less concerning than an active condition causing immunosuppression.
D. 62-year-old on antibiotic therapy: While antibiotics can disrupt normal flora and increase the risk of infections like Clostridioides difficile, this risk is lower than that of a patient with neutropenia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Determine the dose per administration:
- 1000 mg ÷ 250 mg/capsule = 4 capsules per dose
Calculate the total per day:
- Since the order is every 12 hours, the medication is given twice a day
- 4 capsules per dose × 2 doses per day = 8 capsules per day
Correct Answer is C
Explanation
A. "Everyone knows there are others who can chair this committee better than me." This statement is self-deprecating and does not reflect assertive communication. It shifts responsibility to others instead of setting a clear boundary.
B. "It's just not the right time for me to do this." While this statement declines the opportunity, it leaves room for misinterpretation and follow-up pressure to accept later.
C. "I decline the opportunity at this time." This is a clear, direct, and assertive way to decline without over-explaining or inviting negotiation.
D. "Can you tell me why you chose me?" This response does not decline the role; instead, it invites discussion and may make it harder to say no later.
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