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A nurse is caring for a client who has a platelet count of
50,000/mm^3. After discontinuing the client's peripheral IV site,
which of the following actions should the nurse take?
A. Apply warm compresses
B. Apply pressure to the catheter removal site for 5 min
C. Place the affected arm in a dependent position
D. Clean the insertion site with alcohol - ANSWER-B. Apply
pressure to the catheter removal site for 5 min
A nurse is teaching a client who has polycythemia vera about
self-care measures. Which of the following interventions
should the nurse include?
A. "Drink at least 1 liter of fluid each day."
B. "Continuously wear support hose."
C. "Elevate your legs when sitting."
D. "Use dental floss daily." - ANSWER-C. "Elevate your legs
when sitting."
A nurse is caring for a client who has human
immunodeficiency virus (HIV). Which of the following types of
,isolation should the nurse implement to prevent the
transmission of HIV? A. Protective isolation
B. Droplet precautions
C. Standard precautions
D. Airborne precautions - ANSWER-C. Standard precautions
A nurse is providing discharge teaching for a client who had a
bone marrow transplant and has thrombocytopenia. Which of
the following statements indicates that the client understands
the precautions he must take at home?
A. "I'll stick with soft foods for now."
B. "My family will be bringing me fresh flowers today."
C. "I'll use a new disposable razor each day."
D. "I'll blow my nose more often to avoid nosebleeds." -
ANSWER-A. "I'll stick with soft foods for now."A. "I'll stick
with soft foods for now."
A nurse on an oncology unit is providing discharge teaching to
an adolescent female client who received a bone marrow
transplant for leukemia. Which of the following pieces of
information should the nurse include in the teaching? (SATA)
A. "Take your temperature twice each day."
B. "You may return to school if you feel strong enough."
C. "It is important to wear shoes always."
D. "Clean your toothbrush weekly with isopropyl alcohol."
E. "Avoid using tampons." - ANSWER-A. "Take your
temperature twice each day."
C. "It is important to wear shoes always."
E. "Avoid using tampons."
, A nurse is teaching a client who has iron-deficiency anemia.
The nurse should encourage the client to increase her
consumption of which of the following foods?
A. Lentils
B. Avocados
C. Cabbage
D. Broccoli - ANSWER-A. Lentils
A nurse is caring for a client who has breast cancer and is
receiving a combination of chemotherapy medications. The
client expresses confusion about the therapy. Which of the
following explanations should the nurse provide?
A. "The risk of renal toxicity is lessened when a combination
of chemotherapy medications is used."
B. "The chemotherapy medications act at different stages of
cell division so more tumor cells are destroyed."
C. "The use of more chemotherapy medications will shorten
the time you have to be in treatment."
D. "The combination of chemotherapy medications will
eliminate the potential for bone marrow suppression." -
ANSWER-B. "The chemotherapy medications act at different
stages of cell division so more tumor cells are destroyed."
A nurse is providing teaching to a client with cancer who is
receiving external radiation therapy. Which of the following
statements by the client indicates an understanding of the
teaching?
A. "I need to protect the area from sunlight."