Which of the following does the nurse implement as the most important measure in preventing transmission of harmful pathogens to patients with depressed bone marrow function?

Creation of a "sterile" environment for the patient with the use of laminar airflow rooms

Placement of patients in private rooms with high-efficiency particulate air (HEPA) filtration

Strict and frequent handwashing by all people having contact with the patient

Administration of combinations of prophylactic antibiotics

Answer and Explanation

The Correct Answer is C

A.   Creation of a "sterile" environment with laminar airflow rooms is not practical or necessary for preventing transmission of pathogens to patients with depressed bone marrow function. It may also not be feasible in many healthcare settings.
B.   Placement of patients in private rooms with HEPA filtration may help reduce airborne pathogens but is not the most important measure for preventing transmission of harmful pathogens to patients with depressed bone marrow function.
C.   Strict and frequent handwashing by all people having contact with the patient is the most important measure for preventing transmission of harmful pathogens, including bacteria and viruses, to immunocompromised patients. Hand hygiene is a fundamental infection control measure that significantly reduces the risk of healthcare-associated infections.
D.   Administration of prophylactic antibiotics may be part of the treatment plan for some patients with depressed bone marrow function to prevent bacterial infections, but it is not the most important measure for preventing transmission of harmful pathogens. Hand hygiene is more effective in reducing the transmission of a wide range of pathogens, including bacteria, viruses, and fungi.

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Correct Answer is D

Explanation

A. Hemoglobin A1C level is not typically assessed in patients with sickle cell anemia as it is primarily used to monitor long-term blood sugar control in individuals with diabetes mellitus.
B. While appetite may be relevant to the overall health of the patient, it is not the priority assessment in a patient with sickle cell anemia.
C. Reflexes may be assessed during the physical examination, but they are not the priority assessment in a patient with sickle cell anemia.
D. Vaccination history is the priority assessment in a patient with sickle cell anemia because individuals with sickle cell disease are at increased risk of infections, particularly from
encapsulated bacteria. Therefore, ensuring that the patient is up-to-date on vaccinations, including pneumococcal and meningococcal vaccines, is crucial for preventing serious infections.

A. clotting B. Cyanosis C. Jaundice D. Bleeding

Correct Answer is C

Explanation

A. Clotting is not directly related to the destruction of red blood cells.
B. Cyanosis refers to a bluish discoloration of the skin due to poor circulation or inadequate oxygenation, which is not directly indicative of red blood cell destruction.
C. Jaundice is the yellowing of the skin and eyes caused by the buildup of bilirubin, a byproduct of the destruction of red blood cells, which is a common symptom of hemolytic anemia.
D. Bleeding is not a symptom associated with the destruction of red blood cells but rather a lack of clotting factors or platelets.

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Which of the following does the nurse implement as the most important measure in preventing transmission of harmful pathogens to patients with depressed bone marrow function?

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Naxlex Comprehensive Predictor Exams

During an outpatient well visit with a patient who has sickle cell anemia, you make it PRIORITY to assess the patient's?

Correct Answer is D

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Correct Answer is C

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