Dif cognitive level apply application ref 265 top

DIF: Cognitive Level: Apply (application) REF: 265
TOP: Nursing Process: Diagnosis MSC: NCLEX: Psychosocial Integrity
28. A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which
observation by the nurse would indicate a need for further teaching?
1.
The patient ambulates around the room.
2.
The patient
’
s visitors bring in fresh peaches.
3.
The patient cleans with a warm washcloth after having a stool.
4.
The patient uses soap and shampoo to shower every other day.
ANS: B
Fresh, thinned-skin fruits are not permitted in a neutropenic diet because of the risk of bacteria being
present. The patient should ambulate in the room rather than the hospital hallway to avoid exposure to
other patients or visitors. Because overuse of soap can dry the skin and increase infection risk, showering
every other day is acceptable. Careful cleaning after having a bowel movement will help prevent skin
breakdown and infection.
DIF: Cognitive Level: Apply (application) REF: 253
TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity
29.
The nurse is caring for a patient diagnosed with stage I colon cancer. When assessing the need for
psychologic support, which question by the nurse will provide the most information?