The nurse is identifying approaches to reduce the risk of infection in a patient with leukemia. Why is it important for the nurse to institute infection control measures for this patient?
a. Infection can precipitate hemorrhage in the patient with leukemia.
b. The drugs needed to fight infection have life-threatening side effects.
c. Infection in the patient with leukemia can lead to permanent neurological damage.
d. Leukemia seriously impairs the leukocytes and the body's ability to fight infection.
ANS: D
Leukemia is a malignant disease of the WBCs. The immature WBCs are abnormal and unable to effectively fight infection. A. C. Infection does not precipitate hemorrhage and does not typically lead to neurological damage. B. Chemotherapy, not antibiotics, has serious side effects.
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A client has a new prescription for an antihistamine for severe allergies. The client's health assessment indicates that the client has "a couple of drinks" at lunch and after work each day. What action should the nurse take?
a. Suggest the client attend Alcoholics Anonymous meetings. b. Suggest that the client eat larger portions of food at mealtimes. c. Tell the client's spouse to monitor the client's response. d. Tell the client an adverse reaction to the new drug may occur if alcohol is not eliminated.
The nurse is working at a health fair, and is checking the blood pressure of a 50-year-old female client. What should the nurse include when assessing this client?
1. "When was your last pregnancy?" 2. "Have you had a checkup in the last 5 years?" 3. "Have you planned for a colonoscopy?" 4. "Have you been getting Pap tests every year?"
The nurse is caring for a patient placed in traction to treat a fractured femur. Which nursing intervention has the highest priority?
A) Assessing the extremity for neurovascular integrity B) Keeping the patient from sliding to the foot of the bed C) Keeping the ropes over the center of the pulley D) Ensuring that the weights hang freely at all times
Lifestyle modifications to manage hypertension include:
a. Maintaining a body mass index (BMI) of 17. b. Restricting dietary sodium to 2 g per day. c. Encouraging 90 minutes of exercise per day. d. Limiting beer intake to 24 oz/day.