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. Fluid restriction
2. Avoidance of mouth care
3. Strict isolation
4. Good hand washing
4
Rationale 1: Fluids should continue to be encouraged.
Rationale 2: Platelet count is normal; mouth care should include brushing with a soft toothbrush and frequent rinsing.
Rationale 3: The child should be isolated from anyone infectious, but strict isolation is not necessary.
Rationale 4: Hand washing is vital for preventing the spread of infection.
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A nurse administers antidepressant medication to a client in an assisted-living facility. This is an example of which phase of the nursing process?
a. Intervention b. Assessment c. Planning d. Diagnosis
When reviewing the medication records of several clients, the nurse notes documentation of nonergot dopamine receptor agonists. Which of the following would the nurse most likely note? Select all that apply
A) Pramipexole (Mirapex) B) Entacapone (Comtan) C) Amantadine (Symmetrel) D) Ropinirole (Requip) E) Benztropine (Cogentin)
To reduce the risk of infection in a patient with immunosuppression from chemotherapy treatment at home, the nurse advises the family to:
A) Encourage the patient to eat uncooked fruits. B) Make their house sterile. C) Restrict visits from people with contagious illnesses. D) Avoid patient contact at all times.
The nurse learns that a home care client is diluting prescribed nutritional supplements because of the cost. What should the nurse do to advocate for this client?
1. Help the client look for available community resources that may be of assistance. 2. Tell the client that she needs to take the prescribed amount. 3. Report the situation to the physician. 4. Weigh the client on a weekly basis to monitor weight gain or loss.