The nurse is caring for a client with leukemia who is ...

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The nurse is caring for a client with leukemia who is experiencing neutropenia as a result of chemotherapy. Which action should the nurse include in the plan of care for this client?
 
  A) Replace hand hygiene with gloves.
  B) Restrict visitors with communicable illnesses.
  C) Restrict fluid intake.
  D) Insert an indwelling urinary catheter to prevent skin breakdown.

Question 2

The nurse is teaching a class on the perception of pain. What will the nurse teach as being the second step in processing pain stimuli?
 
  A) Thalamus
  B) Reticular system
  C) Limbic system
  D) Cerebral cortex

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Answer to Question 1

Answer: B

In the neutropenic client, visitors with communicable infections should be restricted. Fluid intake should be encouraged. Gloves may be appropriate but should never replace hand hygiene. Invasive procedures such as indwelling catheters should be avoided.

Answer to Question 2

Answer: D

The thalamus is the main relay station for sensory information. Pain information is then transmitted to the cerebral cortex as well as the reticular and limbic systems for the processing and interpretation of pain. The cerebral cortex is the second step in processing pain stimuli. The transmission of pain moves through the limbic system after the thalamus. Transmission of pain impulses occurs in the reticular system after traveling though the thalamus as the main relay station.

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Excellent

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