A nurse manager is planning an in-service for a group
of nurses about caring for clients following stem cell
transplant. Which of the following instructions should
the nurse manager include in the teaching?
A. Assigned to clients who have had a stem cell
transplant to the same room
B. Obtain rectal temp Q4 hours
C. Where an N 95 respirator mask while caring for
these clients
D. Place clients in positive pressure airflow rooms -
...ANSWER...D. Place clients and positive pressure
airflow rooms.
RATIONALE: The patient requires protective equipment
precautions following a stem cell transplant in a
private, positive pressure airflow room. The room air is
filtered through a HEPA filter and the air flow rate is set
at more than 12 error exchanges per hour
A nurse is developing a plan of care for a school-age
child whose family is homeless. Which of the following
findings should the nurse identify as a priority?
A. Child has red fissures at the corners of their mouth
B. Child has several small bruises on both legs
C. Child sleeps for 13 H hour each night
D. Child is not regularly attending school -
...ANSWER...A. Child has red fissures at the corners of
the mouth.
RATIONALE: Use Maslow's hierarchy of needs, this can
indicate a vitamin B deficiency which is a physiological
need.
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