Take full exam for free

The nurse is planning care that would decrease the risk for infection in a client who is recovering from a colectomy. The nurse would include which intervention(s)? (SELECT ALL THAT APPLY)

Encourage and assist with use of incentive spirometer every hour while awake

Assist client out of bed on post-operative day 1

Reposition client every four hours while in bed

Utilize aseptic technique while changing dressing

Maintain TEDS and SCD's while in bed

Question Solution

Correct Answer : A,D,E

A. Encouraging the use of an incentive spirometer helps prevent respiratory complications and promotes lung expansion, thereby reducing the risk of infection, particularly pneumonia.

B. While early mobilization is important for recovery, assisting the client out of bed on post-operative day 1 may not be appropriate depending on the patient's condition; this option is not directly related to infection prevention.

C. Repositioning every four hours is important for pressure ulcer prevention but does not directly impact infection risk; more frequent repositioning may be necessary to ensure adequate skin integrity and circulation.

D. Utilizing aseptic technique while changing the dressing is crucial for preventing infection at the surgical site, making this a vital intervention.

E. Maintaining TEDS (thromboembolic deterrent stockings) and SCDs (sequential compression devices) helps prevent deep vein thrombosis (DVT) and improves circulation, which can indirectly reduce infection risk by promoting better blood flow.

Free Nursing Test Bank

Take full exam free

View Related questions

A. stomatitis associated with laryngeal cancer. B. leukemia ordered to receive an antiemetic before scheduled chemotherapy. C. neutropenia just admitted with a possible infection. D. breast cancer scheduled for external beam radiation that morning.

Correct Answer is C

Explanation

A. While stomatitis can cause discomfort and complications, it is not an immediate threat compared to infection risk.

B. The client with leukemia may require monitoring, but the antiemetic is pre-emptive and not immediately critical.

C. The client with neutropenia and a possible infection poses the highest risk, as they are vulnerable to severe complications due to their compromised immune system. Immediate assessment is necessary to manage and treat potential infections promptly.

D. The breast cancer client scheduled for radiation requires care but is not in an urgent condition compared to the neutropenic patient.

A. Encourage and assist with use of incentive spirometer every hour while awake B. Assist client out of bed on post-operative day 1 C. Reposition client every four hours while in bed D. Utilize aseptic technique while changing dressing E. Maintain TEDS and SCD's while in bed

Correct Answer is ["A","D","E"]

Explanation

A. Encouraging the use of an incentive spirometer helps prevent respiratory complications and promotes lung expansion, thereby reducing the risk of infection, particularly pneumonia.

D. Utilizing aseptic technique while changing the dressing is crucial for preventing infection at the surgical site, making this a vital intervention.

Take full exam for free

The nurse is planning care that would decrease the risk for infection in a client who is recovering from a colectomy. The nurse would include which intervention(s)? (SELECT ALL THAT APPLY)

Free Nursing Test Bank

Correct Answer is C

Explanation

Correct Answer is ["A","D","E"]

Explanation

Quick Links

Resources

Take full exam for free The nurse is planning care that would decrease the risk for infection in a client who is recovering from a colectomy. The nurse would include which intervention(s)? (SELECT ALL THAT APPLY)

Free Nursing Test Bank

After receiving report, which client diagnosed with cancer should the nurse assess first? The client diagnosed with:

Correct Answer is C

Explanation

The nurse is planning care that would decrease the risk for infection in a client who is recovering from a colectomy. The nurse would include which intervention(s)? (SELECT ALL THAT APPLY)

Correct Answer is ["A","D","E"]

Explanation

The nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer. Which risk factor for colorectal cancer should the nurse include?

The nurse notes serosanguinous drainage from the nasogastric tube in the immediate postoperative period of a client who had a gastrectomy for gastric cancer. Which nursing action is appropriate?

The nurse caring for a client diagnosed with pancreatic cancer understands that the key to effective pain management is: (SELECT ALL THAT APPLY)

The client is hospitalized for insertion of an internal cervical radiation implant. While giving care, the nurse finds the radiation implant in the bed. The initial action by the nurse is to:

The nurse is caring for a client who is scheduled to have Mohs Micrographic surgery for a basal cell carcinoma. Which statement by the client Indicates a need for further teaching?

The nurse is providing discharge teaching for a client who has received their first external radiation treatment. The client is scheduled for daily treatments for the next 6 weeks. The nurse would include which instruction in the teaching?

A jaundiced client has just been diagnosed with stage IV pancreatic cancer. The nurse anticipates the client will display which clinical manifestation?

The nurse is giving discharge instructions to a client newly diagnosed with lung cancer. The nurse understands the client requires additional discharge teaching when the client states:

Quick Links

Resources

Take full exam for free

The nurse is planning care that would decrease the risk for infection in a client who is recovering from a colectomy. The nurse would include which intervention(s)? (SELECT ALL THAT APPLY)