What discharge teaching is most important to help the patient who has had a splenectomy prevent infection?

Avoid showering for 1 week

Receive a yearly flu vaccine.

Stay on antibiotics for life.

Sleep in a semi-Fowler position.

Answer and Explanation

The Correct Answer is B

A.   Showering is not typically restricted after a splenectomy. Good hygiene practices, including regular showering, are important for preventing infection.
B.   Patients who have undergone a splenectomy are at increased risk of infections, particularly from encapsulated bacteria such as Streptococcus pneumoniae. Yearly flu vaccination helps reduce the risk of influenza-related complications.
C.   Long-term antibiotic prophylaxis is not routinely recommended for all patients after splenectomy. Antibiotics may be prescribed in certain situations, such as for postsplenectomy sepsis prevention, but lifelong use is not standard practice.
D.   Sleeping position is not directly related to infection prevention after splenectomy.

General infection prevention measures, such as vaccination and avoiding exposure to sick individuals, are more important.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. While atrial fibrillation with a rapid ventricular response requires attention, it is not an immediate concern unless associated with symptoms such as chest pain, shortness of breath, or hemodynamic instability.
B. A heart rate of 50 in a patient with a newly inserted permanent pacemaker may indicate bradycardia, which could be a sign of pacemaker malfunction or lead dislodgement. This patient requires immediate assessment to rule out complications.
C. While recent implantable cardioverter-defibrillator (ICD) discharge warrants evaluation, the patient is currently in normal sinus rhythm with a heart rate of 68, suggesting stability. This patient's assessment can be prioritized after the patient with the pacemaker issue is seen.
D. A heart rate of 58 in a patient with chronic atrial fibrillation on beta-blocker therapy may not be immediately concerning if the patient is asymptomatic and hemodynamically stable. This patient can be assessed after addressing the more urgent pacemaker issue.

A. Remove the abdominal dressings on the day of surgery. B. Encourage ambulation on the day of surgery. C. Place the client in a supine position postoperatively. D. Offer the client ice cream postoperatively.

Correct Answer is B

Explanation

A. Dressings are typically not removed on the day of surgery to allow for observation of any bleeding or drainage. Dressing removal is usually performed by the surgical team or as directed by the healthcare provider.
B. Encourage ambulation on the day of surgery: Ambulation is important for preventing complications such as deep vein thrombosis and atelectasis, and to promote healing.
C. Postoperative positioning depends on the type of surgery performed and any specific patient needs, but placing the client in a supine position may not address comfort or respiratory considerations.
D. Offering ice cream, which is high in fat, may not be tolerated well immediately after this type of surgery.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

What discharge teaching is most important to help the patient who has had a splenectomy prevent infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are caring for this team of patients. Which patient is the priority to see first to collect data?

Correct Answer is B

Explanation

A nurse is caring for a client who is postoperative following a laparoscopic cholecystectomy. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

A nurse is reinforcing teaching with a client who reports right shoulder pain following a laparoscopic cholecystectomy. Which of the following statements should the nurse make?

A patient with dehydration will have which color of urine?

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?

Which of the following describe the function of the kidneys? Select all that apply.

A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm. Which of the following interventions should the nurse include in the plan of care?

What discharge teaching is most important to help the patient who has had a splenectomy prevent infection?

Which finding is most important to monitor when caring for a patient with leukemia?