The nurse is caring for an immunosuppressed patient. Which care considerations should the nurse include? (Select all that apply.)
a. Increase fresh fruit intake.
b. Adhere to Standard Precautions.
c. Avoid bringing potted plants into the pa-tient's room.
d. Employ reverse isolation.
e. Use filters on air conditioner vents.
B, C, D, E
Patients who are immunosuppressed require extended precautions, which are included in the neutropenic precautions, reverse isolation, or protective isolation. Fresh fruit and potted plants should be avoided because bacteria and other substances that have the potential to cause harm may be present.
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a. 6 mL/hr b. 60 mL/hr c. 36 mL/hr d. 15 mL/hr
A patient has been instructed to take an antitussive medication to control cough. Which of the following adverse effects is most frequently associated with this group of drugs?
a. Rapid drug dependence b. Drowsiness c. Nausea and vomiting d. Irritability
Self-care instruction for a pregnant woman often includes the pelvic rocking exercise, which helps:
a. Strengthen perineal muscles b. Strengthen abdominal muscles c. Relieve lower back pain d. Relax pelvic ligaments
The parent of a newborn infant reports that the baby wakes up every 2 hours and only takes about 2 ounces of formula before going back to sleep. What instruction should the nurse give this parent?
1. Make the baby wait at least 3 hours between feedings. 2. Continue to feed the baby with this "on demand" schedule. 3. When the baby gets sleepy during feeding, use techniques such as moving around and tickling to encourage wakefulness. 4. Offer the baby less formula to prevent waste.