The nurse is planning discharge teaching for a client who has a splenectomy. Which statement does the nurse include in this client's teaching plan?
a. "Avoid crowds and people who are sick."
b. "Do not eat raw fruits or vegetables."
c. "Avoid environmental allergens."
d. "Do not play contact sports."
A
The spleen is the major site of B-lymphocyte maturation and antibody production. Those who undergo splenectomies for any reason have a decreased antibody-mediated immune response and are particularly susceptible to viral infections. Eating raw fruits and vegetables places the client at risk for bacterial infections. The body responds to environmental allergens with an unspecific inflammatory process. The client is not at risk for bleeding or injury due to contact sports.
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The nurse is assessing a patient whose body mass index is 23 kg/m2. The nurse would suggest which lifestyle goal for this patient?
1. "To lose weight you should eat a lower fat diet." 2. "You might benefit from additional exercise each day." 3. "Add some calorie and nutrient dense foods to your diet to increase your weight." 4. "Be certain your daily sodium intake does not exceed 2400 mg."
Which approach(s) can a nurse use when assessing environmental health risks? Select all that apply
a. Ask legislators to provide a list of environmental pollutants in the area. b. Develop a list of exposures associated with urban, rural, or suburban settings. c. Assess the risk by medium such as air, water, soil, or food. d. Divide the environment into functional locations: home, school, workplace, and community.
A nurse is questioning a client about hazards in the home environment. Which of the following items in the home is an indication that the client requires instruction about safety?
A. Untacked rugs on the stairs B. Small rugs in the living room C. Carpet on stairs secured with tacks D. Clothes hamper at the end of the hallway E. Cereal boxes, canned foods, and infrequently used cooking utensils stored on top of the refrigerator
The nurse is teaching a patient about the side effects and potential problems associated with taking warfarin sodium (Coumadin). Which statement by the patient indicates a correct understanding of the nurse's instruction?
a. "If I notice bleeding of the gums, I should skip one or two doses of the medication" b. "I should eat a lot of cabbage, cauliflower, and broccoli to prevent bleeding" c. "For injury and bleeding, I should apply direct pressure and seek medical assistance" d. "I should avoid going to the dentist while I am taking this medication"