A child with leukemia has a granulocyte count of 250/mm3 and a platelet count 150, 000/mm3. Nursing intervention would include which of the following?
1. Strict isolation
2. Good handwashing
3. Fluid restriction
4. Avoidance of mouth care
2
Rationale:
1. The child should be isolated from anyone infectious, but strict isolation is not necessary.
2. Handwashing is vital for preventing the spread of infection.
3. Fluids should continue to be encouraged.
4. Platelet count is normal; mouth care should include brushing with a soft toothbrush and frequent rinsing.
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The nurse caring for a patient with an endotracheal tube recognizes several disadvantages of an endotracheal tube. What would the nurse recognize as a disadvantage of endotracheal tubes?
A) Cognition is decreased. B) Daily arterial blood gases (ABGs) are necessary. C) Slight tracheal bleeding is anticipated. D) The cough reflex is depressed.
A 42-year-old female client with a long-standing history of chronic nausea and vomiting but a near-insatiable appetite has had her symptoms attributed to an enzyme deficiency
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A client with schizophrenia is unable to complete activities of daily living. The client does not respond much to what is happening, and lacks interest in the environment
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While conducting a skin assessment the nurse suspects a patient has a communicable disease. Which statement best describes a macule?
A) Redness of the skin produced by congestion of the capillaries B) Small, circumscribed, solid elevation of the skin C) Discolored skin spot not elevated at the surface D) Small elevation of epidermis filled with a viscous fluid