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In evaluating dietary teaching for the client with chemotherapy-induced neutropenia, the nurse would be concerned if the client made which food choice?

A.

Garden salad

B.

Applesauce

C.

Baked potato

D.

Steamed broccoli

Answer and Explanation

The Correct Answer is A

A. A garden salad may contain raw vegetables, which can harbor bacteria and pose a risk of infection for a client with neutropenia, making this the concerning choice.  

 

B. Applesauce is typically safe as it is a processed food that has been cooked, reducing the risk of bacterial contamination.  

 

C. A baked potato is also safe as long as it is properly cooked and handled, which minimizes the risk of foodborne illness.  

 

D. Steamed broccoli is safe because the cooking process eliminates harmful bacteria, making it a better choice for someone with neutropenia.  


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Correct Answer is D

Explanation

A. The prone position is not suitable post-craniotomy as it can increase intracranial pressure and may compromise respiratory function.

B. The dorsal recumbent position is not ideal for patients post-craniotomy, as it can hinder optimal intracranial pressure management.

C. The lateral recumbent position is generally avoided immediately after craniotomy to prevent pressure on the surgical site and ensure proper cerebral perfusion.

D. The Semi-Fowler's position helps reduce intracranial pressure, promotes venous drainage, and is generally recommended for post-operative care following a craniotomy.

Correct Answer is A

Explanation

A. Stage IV pancreatic cancer often leads to bile duct obstruction, causing decreased bile flow into the intestines. This results in clay-colored stools due to the absence of bile pigments.

B. Hematuria, or blood in the urine, is not a common symptom of pancreatic cancer, even in advanced stages. It is more associated with conditions affecting the urinary system.

C. Jaundice causes dark, concentrated urine rather than pale, dilute urine due to the accumulation of bilirubin in the bloodstream, which is excreted through the kidneys.

D. Weight loss, rather than weight gain, is a common manifestation in clients with advanced pancreatic cancer due to malabsorption and cachexia.

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