Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing teaching to a client who has neutropenia. Which of the following information should the nurse include in the teaching?
A. Avoid crowds
Avoid crowds - Neutropenic patients are highly susceptible to infections. Crowded places increase the risk of exposure to pathogens.
B. Eat plenty of fresh fruits and vegetables
Eat plenty of fresh fruits and vegetables - While generally healthy, fresh fruits and vegetables can harbor bacteria, posing a risk for infection in neutropenic individuals. Cooked or properly washed and peeled produce is safer.
C. Take temperature weekly.
Take temperature weekly - Neutropenic patients should monitor their temperature daily, not weekly, to detect infections early.
D. Perform mild exercise, such as gardening
Perform mild exercise, such as gardening - Gardening can expose individuals to soil-borne organisms that could lead to infections. Indoor exercises or those that don’t involve potential pathogen exposure are safer.
This question is an excerpt from Nurse Dive's nursing test bank - ATI 410 Med Surg Proctored Exam. Take the full exam now
Full Explanation
A. Avoid crowds - Neutropenic patients are highly susceptible to infections. Crowded places increase the risk of exposure to pathogens.
B. Eat plenty of fresh fruits and vegetables - While generally healthy, fresh fruits and vegetables can harbor bacteria, posing a risk for infection in neutropenic individuals. Cooked or properly washed and peeled produce is safer.
C. Take temperature weekly - Neutropenic patients should monitor their temperature daily, not weekly, to detect infections early.
D. Perform mild exercise, such as gardening - Gardening can expose individuals to soil-borne organisms that could lead to infections. Indoor exercises or those that don’t involve potential pathogen exposure are safer.
Similar Questions
A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?
A. Scatter rugs are present in the kitchen,
Scatter rugs are present in the kitchen - Scatter rugs can cause tripping and slipping, posing a significant fall risk for someone with vision impairment.
B. Handrails are present in the bathroom.
Handrails are present in the bathroom - Handrails provide support and help prevent falls, making them a safety feature, not a risk.
C. Electrical cords are placed along the walls.
Electrical cords are placed along the walls - This helps prevent tripping over cords, thus reducing fall risk.
D. Uses a microwave for cooking.
Uses a microwave for cooking - A microwave is generally safer than a stove as it reduces the risk of burns and fires, making it a safety feature.
Full Explanation
A. Scatter rugs are present in the kitchen - Scatter rugs can cause tripping and slipping, posing a significant fall risk for someone with vision impairment.
B. Handrails are present in the bathroom - Handrails provide support and help prevent falls, making them a safety feature, not a risk.
C. Electrical cords are placed along the walls - This helps prevent tripping over cords, thus reducing fall risk.
D. Uses a microwave for cooking - A microwave is generally safer than a stove as it reduces the risk of burns and fires, making it a safety feature.
A nurse is caring for a client with a chronic wound. Which of the following is a potential complication of a chronic wound?
A. Electrolyte abnormalities
Electrolyte abnormalities - These are not typically a direct complication of chronic wounds unless they are associated with severe infections or extensive fluid loss, which is uncommon.
B. Altered hemoglobin ATC
Altered hemoglobin A1C - While chronic wounds are common in diabetics, the wound itself does not directly alter hemoglobin A1C; this test measures long-term blood glucose control.
C. Psychological distress
Psychological distress - Chronic wounds can lead to significant emotional and psychological stress due to prolonged treatment, appearance issues, and limitations in activities.
D. Fluid volume overload
Fluid volume overload - This is not a direct complication of chronic wounds. Chronic wounds might cause fluid loss due to exudate, but not fluid overload.
Full Explanation
A. Electrolyte abnormalities - These are not typically a direct complication of chronic wounds unless they are associated with severe infections or extensive fluid loss, which is uncommon.
B. Altered hemoglobin A1C - While chronic wounds are common in diabetics, the wound itself does not directly alter hemoglobin A1C; this test measures long-term blood glucose control.
C. Psychological distress - Chronic wounds can lead to significant emotional and psychological stress due to prolonged treatment, appearance issues, and limitations in activities.
D. Fluid volume overload - This is not a direct complication of chronic wounds. Chronic wounds might cause fluid loss due to exudate, but not fluid overload.
A nurse is teaching a group of clients about the specific types of fluids that protect the structures of the inner ear. Which of the following statements should the nurse include in the teaching?
A. Endolymph fluid provides protection to the structures of the inner ear."
Endolymph fluid provides protection to the structures of the inner ear. - Endolymph is found within the inner ear, specifically in the membranous labyrinth, and plays a crucial role in hearing and balance.
B. Sanguineous fluid provides protection to the structures of the inner ear."
Sanguineous fluid provides protection to the structures of the inner ear - Sanguineous fluid refers to blood or fluid containing blood. It is not present in the inner ear.
C. Aqueous humor provides protection to the structures of the inner ear."
Aqueous humor provides protection to the structures of the inner ear - Aqueous humor is the fluid found in the eye, not the ear.
D. Vitreous humor provides protection to the structures of the inner ear.
Vitreous humor provides protection to the structures of the inner ear - Vitreous humor is found in the eye, not the ear.
Full Explanation
A. Endolymph fluid provides protection to the structures of the inner ear. - Endolymph is found within the inner ear, specifically in the membranous labyrinth, and plays a crucial role in hearing and balance.
B. Sanguineous fluid provides protection to the structures of the inner ear - Sanguineous fluid refers to blood or fluid containing blood. It is not present in the inner ear.
C. Aqueous humor provides protection to the structures of the inner ear - Aqueous humor is the fluid found in the eye, not the ear.
D. Vitreous humor provides protection to the structures of the inner ear - Vitreous humor is found in the eye, not the ear.