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.

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Correct Answer is A

Explanation

A. Atrial flutter is characterized by a regular rhythm with rapid atrial contractions (flutter waves) that have a sawtooth appearance on the ECG tracing.
B. Ventricular tachycardia typically presents with a wide QRS complex and is often associated with hemodynamic instability.
C. Atrial fibrillation is characterized by irregularly irregular rhythm with no distinct P waves and irregular ventricular response.
D. Sinus tachycardia is characterized by a regular rhythm with a heart rate greater than 100 beats per minute originating from the sinus node.

A. Painless, swollen lymph node B. Generalized pruritis C. Malaise D. Cough E. High fever

Correct Answer is ["A","B","C"]

Explanation

A. Painless lymphadenopathy, especially in the cervical, supraclavicular, or mediastinal areas, is a hallmark feature of Hodgkin lymphoma, reflecting the disease's characteristic pattern of lymph node involvement.
B. Pruritis can occur in Hodgkin lymphoma, and can either be focal or generalized.

C. Generalized feelings of discomfort, fatigue, or unease are common in Hodgkin lymphoma due to the effects of the disease on the immune system, as well as potential systemic symptoms such as fever, night sweats, and weight loss.
D. While cough can occur in advanced stages of Hodgkin lymphoma, it is not a defining clinical manifestation and is more commonly associated with respiratory infections or complications.

E. Fever is one of the B symptoms which are associated with Hodgkin Lymphoma.

However, the fever is often low-grade and can be associated with Pel-Ebstein fever which is intermittent fever periods with high temperature followed by afebrile periods.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reading a cardiac monitor of a patient and observes a regular rhythm, and the P waves have a sawtooth pattern. The nurse recognizes this as which arrhythmia?

Correct Answer is A

Explanation

The nurse is caring for a client with Hodgkin lymphoma. Which clinical manifestations can the nurse expect to find? (Select All that Apply.)

Correct Answer is ["A","B","C"]

Explanation

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