Most infections arise from overgrowth of the client's own normal flora, so personal hygiene is critical. Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. A nurse is planning care for a client who has immunosuppression following chemotherapy. repeat the dose 4 hr after chemotherapy. "I will use lemon and glycerin swabs after meals. Find step-by-step Health solutions and your answer to the following textbook question: A nurse is planning care for a client who is undergoing chemotherapy and is placed on neutropenic precautions. Insufficient calcium intake c. Administer dextrose 10% in water until the new bag arrives. Which of the following actions should the nurse take. Which of the following statements should the nurse plan to include? A. 2,565 solutions. What is the nurse's priority action? Notify the prescriber that the client is experiencing an adverse effect. Take the cleint's rectal temp B. hypertension D. Which of the following actions should the nurse take?, A nurse in the emergency department is assessing a client who has extensive burns, including on her face. 89. Jun 26, 2024 · Study with Quizlet and memorize flashcards containing terms like 1. Study with Quizlet and memorize flashcards containing terms like A nurse is planning caring for a client who has developed erythema following radiation therapy for a lesion on the left lower leg. aLimit the number of Jan 19, 2023 · Chemotherapy, also referred to as antineoplastic therapy, is a treatment that utilizes cytotoxic chemicals to kill cancer cells. What will the nurse include in the teaching plan for the child and parents to help reduce this risk? Select all that apply. Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like A client with a history of dermatitis takes corticosteroids on a regular basis. - The nurse should encourage the client to eat six small meals a day. Limited smoked and nitrate-preserved foods. Encourage frequent, thorough handwashing. Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Instruct the client to eat cooked foods only Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like 1. if you miss a dose, double the next dose C. Throw I. The nurse assesses the following behavior as a common characteristic of Study with Quizlet and memorize flashcards containing terms like A client who has been diagnosed with acute lymphocytic leukemia will be receiving doxorubicin (Adriamycin) infusions as part of a chemotherapy regimen. V. - Have the client swish with commercial mouthwash before therapy A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care? a. B. Which of the following actions should the nurse plan to take? a. The nurse would include which statement to explain the action of drug? 89. Which of the following would further the nurses understanding? 1. A nurse is planning care for a client who has deep vein thrombosis of the lower leg. In planning care for the client, the nurse anticipates that the client will be treated with which vitamin or mineral? 1. ) Don a mask, gloves, and gown. Add a raw egg to fruit smoothies C. Which of the following infection control precautions should the nurse plan to use while caring for this client?, A nurse is contributing to the plan of care for a client who has a pressure ulcer on his heel. Have client increase fresh fruits and vegetables in diet NURSING 555. ANS: A. Administer the medication 30 min prior to breakfast. Acute lymphocytic leukemia (ALL), also known as acute lymphoblastic leukemia, refers to an abnormal growth of lymphocyte precursors or lymphoblasts. which of the following interventions should the nurse include in the plan of care? Limit IM injections. lenon26. Reposition the client Stop the drug immediately. Which of the following factors increases the risk of developing cancer after age 60? a. 92. Limit the number of health care workers entering the room. Provide the client with fresh fruit to avoid constipation. " A nurse is teaching a client about the rationale for administering allopurinol with chemotherapy. Encourage larger bites d. Which of the following actions should the nurse plan to take? (Select all that apply. A nurse is planning care for a client who is receiving chemotherapy and has a protein deficiency. D Client with xerostomia associated with laryngeal cancer who needs oral care before breakfast. Take the client's temperature once per shift C. () Avoid foods prepared with tap water. Mix powdered skim milk into liquid milk B. Droplet, A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following findings should the nurse expect? A. Request to change IM antiemetic medication to oral pill. Neutropenic B. Rotate health care staff caring for the client . A patient is scheduled for cryoablation for cervical cancer and tells the nurse, "I am not exactly sure what the surgeon is going to do. Acute leukemia is a malignant proliferation of white blood cell precursors in The following are contraindications and cautions for the use of interleukin receptor antagonist: Known allergy to E-coli-produced products and to the drug itself. A nurse is preparing a client who is to receive chemotherapy for treatment of ovarian cancer. prevent extension of the tumor. Provide the client with fresh fruit to avoid Jun 20, 2024 · Study with Quizlet and memorize flashcards containing terms like A client has been diagnosed with pernicious anemia. 2. A nurse is caring for a client who is receiving chemotherapy to treat cancer. Place a mask on the client if the client leaves the room May 10, 2024 · Acute leukemias have large numbers of immature leukocytes and overproduction of cells in the blast stage of maturation. Chemotherapy drugs attack WBCs and shorten their life span, which increases risk for infection. A nurse is planning care for client who has immunosuppression following chemotherapy. Immunosuppression C. The nurse is planning care for a patient who has immunosuppression following chemotherapy. A middle adult client using an incentive spirometer following surgery D. Monitor the client's vital signs every 12 hr . Which of the following should the nurse plan to include in the Apr 8, 2020 · Immunosuppression is a reduction in the body’s ability to fight infection and disease. A client has just been diagnosed with a primary immune deficiency disease (PIDD). ) Infuse the drug 30 min prior to chemotherapy. Early adulthood, A Use a protective environment for those that are immunocompromised. This requires: -a private room -positive airflow 12 or more -HEPA filtration for incoming air -Masking the client when out of the room It is also important to take the upmost procatution when interacting with these patients and avoid also having patients with active diseases A nurse is providing care for four clients. Place pt in private room d. A client is undergoing chemotherapy for vulvar cancer. Protective isolation. Which of the following clients is at greatest risk for pneumonia? A. c) Contact the health care provider at first signs of an infection. Which intervention would the nurse include in the client's plan of care to best support skin recovery at the affected site? Select all that apply. Bleeding C. b. Leukopenia. 89% (28) View full document. Identification wristband, A nurse is planning care for a client who has pernicious A nurse is creating a plan of care for a client who has cancer and is experiencing immunosuppression Which of the following interventions should the nurse include in the plan of care ? Provide fresh fruit with the client's meals . (Move the steps into the box on the right, placing them in the selected order of performance. The client is constantly tired and sees this as an indication she won't survive. Tell the client to expect dark stools following chemotherapy. Has infiltrated the lymph nodes. which of the following actions should the nurse plan to take? keep bp equipment in the the room a nurse is teaching a client about physical effects of chemo, following teaching the nurse asks the client to describes a physical effect. identify the precise location of the tumor. The nurse knows that the client is scheduled for immunostimulant drug therapy to support the hematopoietic system. Should the nurse: keep the ulcer bed dry, clean the ulcer with hydrogen A nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. Which of the following 5 days ago · Study with Quizlet and memorize flashcards containing terms like For a client with stomatitis (inflammation of the oral cavity) resulting from chemotherapy for leukemia, the care plan should include which intervention A. High-protein diet b. which of the following foods should the nurse include in the client's plan of care?, a nurse is educating a client who is at 10 weeks gestation and reports frequent A nurse is planning care for a client who has acute dysphagia. Which of the following findings should the nurse expect?, A nurse is preparing an in-service about HIV for a group of newly hired assistive personnel. Which nursing action is most appropriate for handling chemotherapeutic agents? Wear disposable gloves and protective clothing. Weight loss, A nurse is planning care for a client who has thrombophlebitis and a prescription to The client asks the nurse what type of cancer this is. Gastric Ulceration D. The nurse understands this is a humoral immune response against invading antigens. The client has done some research online and believes this is an unlikely diagnosis due to the client's age. This treatment is a mainstay for cancer, especially for solid tumors and hematologic cancers like leukemia and lymphomas. A nurse is planning care for a client who has leukemia and a platelet count of 130,000/mm3. Has developed within a localized area. Use all the steps. Jun 20, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse teaches the client that corticosteroids will be used to treat his brain tumor to A. Increase raw produce in the client's diet C. Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following would the nurse describe as the first step? To make a client with cancer more comfortable. A) Wear clothing that fits snugly B) Periodically Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like A client has just been diagnosed with a primary immune deficiency disease (PIDD). Study with Quizlet and memorize flashcards containing terms like a home health nurse is planning care for a client who is receiving chemotherapy and has neutropenia. "I will use a soft toothbrush or foam swab for oral care. What clinical finding indicates that toxicity has occurred?, An adolescent who has been prescribed a) Administer medication following breakfast daily. The client had a friend who died after treatment, which has caused severe anxiety and fear; the client is constantly tired and sees this as an indication she won't survive. d) Administer the medication with an antacid to prevent stomach upset. 50. Which of the following interventions should the nurse include (select all that apply), Why is adjuvant therapy given to patients with breast cancer who are free of signs of the disease (select all that apply Abstract. " What is the best response by the nurse? "The surgeon is going to use liquid nitrogen to freeze the area. Provide the client with fresh fruit to avoid 5 days ago · A variety of fruits and vegetables. Disconnect I. Which of the following interventions should the nurse include in the plan of care? insert an indwelling catheter to monitor sediment in the urine Study with Quizlet and memorize flashcards containing terms like Which is the most likely indication for the use of immunosuppressant agents?, A client is undergoing chemotherapy for vulvar cancer. Which of the following interventions should the nurse include in the plan of care. Iron 2. Encourage all family members to come and visit the client. ) When teaching the patient with cancer about chemotherapy, the nurse should A. " C. The nurse is admitting a male patient with immunosuppression to the medical-surgical unit. The nurse assesses that the client is at risk for an infection related to chemotherapy-induced immunosuppression. " B. Pregnancy and lactation. Has spread to a distant site. give the client spicy foods to stimulate the sense of taste d. pancytopenia - bone marrow suppression, a deficiency of WBCs, RBCs, and platelet counts, is an expected adverse effect of Study with Quizlet and memorize flashcards containing terms like Following chemotherapy for acute lymphocytic leukemia (ALL), the client's lab results indicate a white blood count of 1000 cells mm3. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Nutritional supplementation. avoid driving or activities requiring alertness B. Why should the nurse closely monitor the patients white blood cell (WBC) count? a. When your immune system is not working properly, you can get sick easily and have trouble getting over Jun 29, 2024 · A nurse is preparing an in-service presentation about human immunodeficiency virus (HIV) for a group of new graduate nurses. Protein losses inhibit immune response in which Study with Quizlet and memorize flashcards containing terms like A nurse is assigned care of a client who has HIV. Study with Quizlet and memorize flashcards containing terms like During chemotherapy, an oncology client has a nursing diagnosis of Impaired oral mucous membrane related to decreased nutrition and immunosuppression secondary to the cytotoxic effects of chemotherapy. Which of the following interventions should the nurse include in the plan? Pick up implant with long handled forceps and place into a lead container ATI MedSurg - Oncology. Which of the following interventions should the nurse include in the plan of care? limit the number of health care workers entering the room Which of the following findings should the nurse expect?, A nurse is preparing an in-service about HIV for a group of newly hired assistive personnel. Limit visitors to healthy adults D. Renal impairment, immunosuppression, active infection. Administer the drug when the client reports nausea. offer mints. Drug may cross placenta and enter breast milk. The nurse in the emergency department is caring for a newly admitted patient. The nurse should instruct the client to avoid excessive amounts of spices and salt. Have the client floss 4 times daily. Which of the following interventions should the nurse include in the plan of care? Normal platelet count: 150,000 - 400,000/mm3. insert an indwelling catheter to monitor sediment in the urine Study with Quizlet and memorize flashcards containing terms like When is surgical remedy for cancer most successful (select all), A nurse is providing postmortem care for an adult client. Which of the following interventions should the nurse include in the plan of care? A. An appropriate response by the nurse would be that cancer in situ is when abnormal cell production. Determine apical pulse prior to administering. b) Sprinkle the contents of the capsule on food. Early adulthood, 2 Study with Quizlet and memorize flashcards containing terms like A nurse is creating the plan of care for a client who is immunosuppressed. . Provide the client with fresh fruit to avoid constipation. The biggest dangers to clients on chemotherapy are neutropenia and the risk of serious infection or sepsis. Chemotherapy drugs cause polycythemia and can precipitate thrombosis. a nurse planning care foe a client who has immunosuppression following chemotherapy. Have the client swish with commercial mouthwash before therapy. Chemotherapy drugs Jun 26, 2024 · A. a. In some clients, chemotherapy is used as a palliative treatment to reduce the size of a tumor rather than cure it. Which of the following actions should the nurse plan to take? A. 5 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is monitoring a client following a thyroidectomy for the presence of hypoparathyroidism. The client has an abdominal wound that requires irrigation and has a tracheostomy attached to a Study with Quizlet and memorize flashcards containing terms like knowing the adverse effects of cimetidine, the primary care provider's assistant should instruct a client to watch for and report which of the following? A. Which of the following interventions should the nurse include? Avoid IM injections rationale: A client who has thrombocytopenia is at risk for bleeding; therefore the nurse should avoid invasive procedure such as an IM injection. Jun 20, 2024 · Study with Quizlet and memorize flashcards containing terms like A client with Hodgkin's disease has been prescribed vincristine. confusion C. Chart B. The nurse identifies which intervention as the highest priority in the nursing plan of care?, During chemotherapy, an oncology client has a nursing diagnosis of impaired oral mucous membrane related to decreased nutrition and immunosuppression Jun 29, 2024 · d. Thrombosis B. Weakened immune responses, A nurse is caring for a Dec 24, 2023 · Clinical Reasoning Cases in Nursing. Infancy C. The nurse should use which of the following is a priority source of verification? A. What nursing consideration should the nurse prioritize when administering this drug? - The nurse should avoid using a distal vein. ) Explain that antiemetics, antidiarrheals, and analgesics will be provided as needed to control side effects. C. range of 2 to 3. A nurse is contributing to the plan of care for a client who has thrombocytopenia due to chemo therapy. inspect the mouth every week for fungus b. Declining muscle mass d. Adolescence D. Administer exporting Alfa as prescribed c. Cold intolerance D. Which of the following nursing interventions should be included in the plan of care? a. An older adult client who has dysphagia A nurse is planning care for a client who has undergone a stem cell transplant. Instructing the client to tilt head forward when swallowing A nurse is planning care for a client who has hypertension and is to start taking metoprolol. Which of the following actions should the nurse plan to take? - Tell the client to expect dark stools following chemotherapy. Involuntary muscle spasms C. The nurse is assigned to care for a client on contact precautions. a nurse is planning care for a client who has immunosuppression following chemotherapy. Instruct the client to floss teeth daily a nurse is planning care for a client who is receiving chemotherapy and has a new prescription for ondansetron. she explains that this May 16, 2024 · Use chlorhexidine to wash hands if the client is immunosuppressed 7)A nurse is planning care for a client who has immunosuppression following chemotherapy. () Avoid handwashing after eating. Which of the following interventions should the nurse include in the plan of care? Select all that apply. 5 days ago · Contact the provider to clarify the prescription. - The nurse should check for extravasation when the infusion is Study with Quizlet and memorize flashcards containing terms like A client is receiving an IV immune stimulant and develops a cardiac arrhythmia. Place the client in a negative pressure room. Study with Quizlet and memorize flashcards containing terms like A nurse is planning teaching for a client who has been prescribed loperamide to treat diarrhea. Have the child sleep in a single bed and room. d. facilitate regeneration of neurons. Which of the following interventions should the nurse include in the plan of care? Increase the number of visitors allowed in the room Study with Quizlet and memorise flashcards containing terms like A nurse is planning care for a client who has platelet count of 10,000/mm3. Provide the client with fresh fruit to avoid A nurse is caring for a client who has received a blood transfusion and has an anaphylaxis reaction. Fresh-frozen plasma (FFP) administration. , A A nurse is planning care for a client who has immunosuppression following chemotherapy. A decrease in circulating white blood cells (WBCs) is referred to as. Order sheet C. A. The nurse monitors the client for signs and symptoms of doxorubicin toxicity. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has been placed on neutropenic precautions. D. Provide the client with fresh fruit to avoid Droplet precautions. Pt is at risk for bleeding. Providing a straw for consumption of liquids c. Chemotherapy aims to reduce or eliminate the number of cancer cells in the primary and Spinach and beef. encourage foods with neutral or cool temperatures c. Jun 26, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client receiving chemotherapy. 1/14/2021. c. A nurse is providing teaching to a client who has stomatitis due to chemotherapy and radiation therapy. rinsing the mouth with alcohol-based mouthwash can reduce dryness D Study with Quizlet and memorize flashcards containing terms like A female client with cancer is receiving chemotherapy and develops thrombocytopenia. Study with Quizlet and memorize flashcards containing terms like A client who is blind and has a guide dog is hospitalized. As part of the presentation, the nurse is planning to describe the events that occur once HIV enters the host cell. take the client’s temperature once per shift. Strengthening the patient's defense mechanisms is inherent in these nursing objectives, and the nurse must have certain competencies to reinforce these defense mechanisms. Have client use an oral topical A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care? . Which of the following assessments should A nurse is planning care for a client with an absolute neutrophil count less than 1000/mm3. Reminding the client to use the incentive spirometer every hour while awake. Weigh the client weekly. Neutropenia poses high risk for life-threatening sepsis and septic shock, which develop and progress rapidly in immune-suppressed people; the nurse should see the client with chemotherapy-induced neutropenia first. perform frequent Jun 29, 2024 · A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm3. Restrict all visitors. Limit the client from bathing daily. a nurse is planning care for a client who is to undergone a stem cell transplant. Platelet count less than 85,000 is critical. bone pain, the health care professional instructs a client about the therapeutic actions of sucralfate. ) Study with Quizlet and memorize flashcards containing terms like A nurse is planning a presentation for a group of older adults at a community center about risk factors for cancer. which of the following actions should the nurse plan to take? infuse the drug 30 minutes prior to chemotherapy. , A client whose physical findings suggest a hyperpituitary condition undergoes an extensive A nurse is planning care for a client who has immunosuppression following chemotherapy. Take the client's temperature once per shift. The nurse prepares to Study with Quizlet and memorize flashcards containing terms like A client who is immunosuppressed is being admitted to the hospital on neutropenic precautions. Early childhood B. 1. A pediatric nurse is working with an interdisciplinary team and parents to care for a 6-month-old client who has recently been diagnosed with severe combined immune deficiency (SCID). Placing the client in semi-fowlers position during meals b. Admit the client to a private room. tubing in the trash after the infusion is Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Medication administration record D. reduce cerebral edema. Limit the number of health care workers entering the room. Question: A nurse is planning care for a client who has immunosuppression following chemotherapy. 3. Which of the following actions should the nurse take?, The nurse manager on a medical unit is implementing a plan to reduce the number of catheter associated Jun 29, 2024 · A nurse is contributing to the plan of care for an older client who has WBC of 2000mm after three rounds of chemotherapy. The nurse enters the room to check the client's pulse. hyperactivity B. Auscultate the client's apical heart rate for 2 minutes. Take the client's temperature once per shift. Humoral immune response is mediated by antibodies produced by B lymphocytes 2. Restrict visitors who have active infections. Folic acid 3. d. Keep the client's affected leg elevated while in bed. Analyze the information and determine which priority action the nurse should take at 1030. Has invaded surrounding tissue. Have the client ambulate prior to applying antiembolic stockings. Which of the following interventions should the nurseinclude in the plan of care?insert an indwelling catheter to monitor sediment in the urine. A nurse is caring for a newly admitted client who has a gastric hemorrhage and is going into shock. infuse the drug slowly over 15 min. Liver Toxicity, A 5 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has thrombophlebitis and a prescription to receive heparin via continuous IV infusion. Which of the following interventions should the nure include in the plan of care?, A nurse is caring for a client who has addisons disease and is at risk for Addisonian crisis. Monitor the client for jaundice. Which of the following statements should the nurse include about HIV transmission?, A nurse is assisting in the plan of care for a client who has immunosuppression following chemotherapy. Keep a stethoscope and blood pressure cuff in the client's room. limit the number of healthcare workers entering the room. , While studying for a pharmacology The client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in the nursing plan of care? a-Ambulation three times a day b-Monitoring temperature c-Monitoring the platelet count d-Monitoring for pathological factors Jun 29, 2024 · RR 16 breaths/min. Add a slice of cheese to hot veggies. - Have the client floss 4 times daily. What measures should the nurse institute immediately? Select All That Apply 1. 5 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for long-term therapy. Which of the following adverse effects should the nurse anticipate from the chemotherapy? Click the card to flip 👆. Deliver the Epi dose. The nurse is providing teaching to a patient who has a new diagnosis of Parkinson's disease. Which of the following precautions should the nurse include in the plan? (Select all that apply. The immune system’s job is to defend the body, but that power can be suppressed by disease, medications, poor nutrition, or other health problems. Chest physiotherapy. Which assessment finding indicates a chemotherapy-induced complication?, The nurse working on a bone marrow unit knows that it is a priority to monitor which of the following in a client who has just undergone a stem cell transplant?, Which does a nurse thoroughly The nurses responsibility is to compare and verify the information on the blood label with the clients information. The nurse states, Which of the following describes the crisis phase of the trajectory model of chronic illness?, A client has constant pain and peripheral neuropathy following chemotherapy for cancer. Prevent hypersensitivity reactions. ) Avoid telling the patient about possible side effects of drugs to prevent anticipatory anxiety. A young adult client living in a college dorm C. At which stage of life are people most commonly diagnosed with PIDD? A. 7th Edition • ISBN: 9780323527361 Julie S Snyder, Mariann M Harding. Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a child who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate? A. Elevated blood pressure B. Jun 26, 2024 · Study with Quizlet and memorize flashcards containing terms like A patient with lung cancer is receiving chemotherapy. The nurse knows that the Jul 8, 2024 · Avoid highly seasoned foods is correct. On review of the client's record, the nurse notes that the client has a hospital-acquired infection caused by methicillin-resistant Staphylococcus aureus (MRSA). Vitamin B12, The nurse is reviewing the laboratory results of a client receiving chemotherapy. Which of the following statements by the client indicates a need for further teaching? A. Thiamine 4. Which nursing interventions should be implemented to protect the client from infection? Select all that apply. Contact D. ) Assure the patient that the side Study with Quizlet and memorize flashcards containing terms like A client is receiving chemotherapy to treat breast cancer. The nurse should assess the client for which complication of therapy?, A client is being treated for cancer and the nurse has identified the nursing diagnosis of Risk for Infection Due to Protein Losses. A new bag is not available when the current infusion is nearly completed. tubing with gloved hands. The primary objectives of nurses caring for the immunosuppressed patient are to create a safe, peaceful environment and to promote the quality of the patient's life. Apply prolonged pressure to puncture site after blood sampling b. A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has Methicillin-resistant Staphylococcus Aureus (MRSA) in an abdominal wound. Which of the following information should the nurse include in the presentation? () Avoid covering sores with bandages. Which of the following interventions should the nurse include in the plan of care? Limit the number of health care workers entering the room. A school-aged child who has a history of asthma B. () Avoid eating meat. Insert an indwelling catheter to monitor sediment in the urine. The nurse should instruct the client to report which of the following as an adverse effect of prednisone? A. Break needles after the infusion is discontinued. Identify the sequence of actions the nurse should take. zz kt nj ic ra xr uf pe ao es