Teaching with AP about standard precaution when caring for a client who has vancomycin resistant enterococcus of the urine- PPE should nurse recommend the AP to use when caring for the client?

Correct Answer: B

Rationale: The correct answer is B because wearing don clean gloves provides a barrier to prevent direct contact with bodily fluids contaminated with VRE. Gloves are essential in preventing the transmission of bacteria during care. Choice A is incorrect because goggles are not specifically necessary for VRE of the urine unless there is a risk of splashing or spraying of bodily fluids towards the eyes. Choice C is unnecessary unless there is a high risk of exposure to splashes or sprays to the face. Choice D is not necessary for all interactions unless there is a risk of contamination of clothing with bodily fluids.

Correct Answer: A

Rationale: The correct answer is A because acute lymphatic leukaemia specifically involves the overproduction of abnormal lymphocytes in the bone marrow. This leads to a decrease in normal blood cell production. Choice B is incorrect because leukaemia primarily affects the production of specific types of white blood cells, not all types. Choice C is incorrect because acute lymphatic leukaemia involves abnormal lymphocytes, not specifically B lymphocytes. Choice D is incorrect because not all types of white blood cells are affected in acute lymphatic leukaemia.

Correct Answer: D

Rationale: The correct answer is D: None of the above. People with irritable bowel syndrome do not necessarily need a hemicolectomy, as it is usually not a treatment option for IBS. There is no direct link between IBS and cancer, so the statement in option B is incorrect. IBS does not affect fertility, so option C is also incorrect. Therefore, the most appropriate answer is D as none of the statements provided are true for individuals with irritable bowel syndrome.

Correct Answer: D

Rationale: The correct answer is D: Serum hemoglobin 7.7 g/dL. In sickle cell anemia, there is a decreased hemoglobin level due to the abnormal sickle-shaped red blood cells. This results in anemia. A low serum hemoglobin level is a characteristic finding in sickle cell anemia. A: Serum glucose level is not directly related to sickle cell anemia. B: Serum creatinine level is not typically affected by sickle cell anemia. C: Serum leukocytes level with a predominance of lymphocytes is not specific to sickle cell anemia. In summary, the correct lab result for a child with sickle cell anemia would be a low serum hemoglobin level, as it is a direct reflection of the anemia associated with the condition.

Correct Answer: B

Rationale: The correct answer is B: Acute lymphocytic leukemia. This type of leukemia is the most common cancer in children, accounting for about 25% of all childhood cancers. It originates in the bone marrow and affects the production of white blood cells. Non-hodgkin’s lymphoma (choice A) is also a common childhood cancer, but it primarily affects lymph nodes. Chronic lymphocytic leukemia (choice C) is rare in children and more common in adults. Ewing’s sarcoma (choice D) is a type of bone cancer that is more prevalent in adolescents and young adults, not typically in younger children.