Practice Quiz

NCLEX-RN

Category - Safety

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Everyone in the cancer ward is busy during the morning shift. Mario, who is neutropenic and diagnosed with AML, is currently having his 3rd cycle of chemotherapy. The patient is staying in a private room. While the nurse monitors the client’s IV chemotherapy, a group of medical residents, interns and consultants begins to enter the room without their masks, gloves and gowns on. How should the nurse address this?
  1. Ask the doctors to wear the gloves, gown, and mask before entering the room.
  2. Allow the doctors to enter without masks, gloves and gowns as long as they don’t directly interact with or touch the client.
  3. Check the client’s neutrophil count to determine if he is in danger of contracting infection.
  4. Remind them to disinfect their hands with an alcohol gel when entering and leaving the room.
Explanation
Answer: A - Standard precautions for immunocompromised clients include donning gown, gloves, and masks when entering the room, especially since the client is neutropenic. Hand washing or disinfecting the hands with alcohol is allowable in some institutions if the client’s neutrophils aren’t critical. Option B places the client at a high risk of infection.
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