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°36.ID: 9476948358A client undergoing chemotherapy is found to have an extremely low white blood cell count, and neutropenic precautions, including a low-bacteria diet, are immediately instituted. Which of these food items will the client be allowed to consume? Select all that apply.AFresh appleBRaw celeryCItalian bread CorrectDTossed saladEBaked chicken CorrectFWell-cooked cheeseburger Correct°Rationale: An extremely low white blood cell count puts the client at risk for infection, necessitating the implementation of a low-bacteria diet. The client must avoid fresh fruits and vegetables, which may harbor microorganisms that could cause infection, and ensure that meat is thoroughly cooked. Italian bread, baked chicken, and a well-done cheeseburger are all acceptable foods for the client.°Test-Taking Strategy: Focus on the subject of the question, a low-bacteria diet. Read each option carefully and think about the foods that harbor bacteria. Recalling that fresh fruits and vegetables are restricted in a low-bacteria diet will help you selectthe correct items. Review interventions for the client on a low-bacteria diet if you had difficulty with this question.°Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing:Patient–centered collaborative care(6th ed., p. 427). St. Louis: Saunders.°Level of Cognitive Ability: Applying°Client Needs: Safe and Effective Care Environment°Integrated Process: Nursing Process/Implementation°Content Area: Infection Control Awarded 3.0 points out of 3.0possible points. °37.ID: 9476938186Which actions should the nurse take in the event of an accidental poisoning? Select all that apply.ASaving vomitus for laboratory analysis CorrectBPlacing the client in the supine positionCDetermining the type and amount of substance ingested Correct
DRemoving any visible materials from the nose and mouth CorrectEInducing vomiting if a household cleaner has been ingestedFAssessing the client’s airway patency, breathing, and circulation Correct°Rationale: In the event of accidental poisoning, the poison center is called before any attempt at interventions is made. Additional interventions in an accidental poisoning include assessing the client’s airway patency, breathing, and circulation; removing any visible materials from the nose and mouth to terminate exposure; determining the type and amount of substance ingested, if possible, to identify an antidote; saving vomitus for laboratory analysis, which may aid further treatment; and positioning the victim with the head to the side to prevent aspiration of vomitus and help keep the airway open. Because of the risk of aspiration, vomiting is never induced in an unconsciousclient or in a client who is experiencing seizures. Additionally, vomiting is not induced if lye, a household cleaner, a hair care product, grease, a petroleum product, or furniture polish has beeningested, because of the risk of internal burns.