A client with acute leukemia develops a neutrophil count of 450/mm3 . The nurse should (Select all that apply)
a. allow no plants or live flowers in the room.
b. allow no visitors at this time.
c. ensure strict adherence to hand-washing protocol.
d. place the client on protective isolation.
e. restrict the client's access to raw fruits and vegetables.
A, C, D, E
When the count is below 500/mm3, protective isolation should be instituted: bacteria-free diet, no fresh flowers or plants in the room, and visitors screened for the presence of an infection. This will help protect the client from infection and is part of an important TJC National Patient Safety Goal.
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Culture includes all of the following except
a. Religion b. Physical traits such as hair and eye color c. Stories from grandparents d. Nonphysical inherited traits
A nurse on a medical unit is providing care for a patient who has been admitted because of the simultaneous development of several complications of AIDS
For the past several days, the patient has been experiencing six to eight watery bowel movements each day. The nurse should consequently assess the patient's: A) Electrolyte levels B) Oral mucus membranes C) Abdominal girth D) White blood cell (WBC) count
When providing education to a mother regarding pain management for a toddler with otitis media, which statement by the mother indicates further teaching needs for this parent?
A) "Use of infant Tylenol is good for my toddler." B) "I should give my toddler one baby aspirin." C) "I don't have to give my child pain medication unless he needs it." D) "Ibuprofen can be purchased over the counter to use if my toddler needs it."
Prior to taking the NCLEX-PN examination, candidates sign a confidentiality clause. A candidate would be in violation of "terms of confidentiality" when doing which of the following?
a. The candidate asks the examination proctor a question. b. The candidate informs others that she has taken the exam. c. The candidate discusses the exam with his instructor. d. The candidate refrains from discussing the exam with others.