What type of contamination is the nurse trying to eliminate when he or she requests people to remove all garments before entering a house or shelter?

Correct Answer: C

Rationale: In this scenario, the correct answer is C) External radioactive contamination. When the nurse requests individuals to remove all garments before entering a house or shelter, they are aiming to eliminate external radioactive contamination. This type of contamination refers to radioactive particles that may be present on the surface of clothing and could potentially pose a health risk if brought indoors. Option A) Internal radiologic contamination is not the correct answer in this situation as the focus is on external rather than internal contamination. Internal radiologic contamination occurs when radioactive material is ingested, inhaled, or absorbed into the body. Option B) External vesicant contamination involves exposure to chemicals that cause blistering of the skin and mucous membranes. This type of contamination is not related to the removal of garments to prevent radiation exposure. Option D) Cross-contamination typically refers to the transfer of harmful microorganisms from one person or surface to another, which is not the concern in this context. Understanding the importance of preventing external radioactive contamination is crucial in healthcare settings, especially in situations where individuals may have been exposed to radiation and need to prevent further spread of radioactive particles. Nurses and healthcare professionals must be aware of proper decontamination protocols to ensure the safety of both patients and themselves.

Correct Answer: A

Rationale: In this scenario, the most appropriate healthcare professional to address the topic of explaining screening exams and diagnostic testing for common cancers would be the nurse practitioner. The nurse practitioner has advanced training in pharmacology, pathophysiology, and diagnostic reasoning, making them well-equipped to discuss the technical aspects of cancer screening and diagnostic procedures. They can provide in-depth explanations, answer questions, and guide individuals on the importance of early detection. The other options - LPN/LVN, RN, and nutritionist - are not typically trained to the same extent as nurse practitioners in cancer screening and diagnostic testing. LPN/LVNs and RNs may not have the advanced knowledge required to provide detailed information on these topics. A nutritionist, while valuable for discussing dietary habits and cancer prevention, may not have the expertise in medical procedures and testing related to cancer detection. By assigning the nurse practitioner to this task, the community health center can ensure that the audience receives accurate, evidence-based information on cancer screening and diagnostic testing, ultimately contributing to promoting early detection and improving health outcomes.

Correct Answer: A

Rationale: The correct answer is A) During preparation, drugs may be absorbed through the skin or inhaled. This is a major consideration when assigning staff to patients receiving chemotherapy because many chemotherapeutic drugs are hazardous substances that can be absorbed through the skin or inhaled during preparation. Staff must follow strict safety protocols to prevent exposure and ensure their own safety. Option B) Many chemotherapeutics are vesicants, is incorrect because while some chemotherapeutic drugs can indeed be vesicants, the major consideration in this context is the potential for absorption through the skin or inhalation during preparation. Option C) Chemotherapeutics are frequently given through central venous access devices, is incorrect because the route of administration is not the primary consideration when assigning staff to patients receiving chemotherapy. Option D) Oral and venous routes are the most common, is incorrect as it does not address the specific safety concern related to the handling of chemotherapeutic drugs. In an educational context, it is crucial for healthcare providers to understand the unique hazards associated with handling chemotherapeutic drugs to ensure their safety and the safety of patients. Proper training, adherence to safety protocols, and awareness of potential risks are essential components of caring for patients receiving chemotherapy.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) A patient who underwent debulking of a tumor to relieve pressure. This patient would be the least ergenically suitable to be placed with others due to the potential risk of infection. Patients who undergo debulking procedures are at a higher risk of developing infections due to the compromised immune system caused by the surgery and the underlying cancer. Option A) A patient with a neutrophil count of 1000/mm³, although having a low neutrophil count, is not necessarily a contraindication for being placed with others, as long as proper infection control measures are in place. Option C) A patient receiving high-dose chemotherapy after a bone marrow harvest would also have a compromised immune system, but these patients are usually placed in specialized isolation rooms to minimize the risk of infections. Option D) A patient who is post-op laminectomy for spinal cord compression is not necessarily at a higher risk of infecting others unless there are complications or other factors present. In an educational context, understanding the unique needs and risks associated with different cancer patients is crucial for providing safe and effective care in a healthcare setting. Proper infection control practices and patient placement strategies are essential to prevent the spread of infections and ensure the well-being of all patients.

Correct Answer: C

Rationale: In the context of pharmacology and nursing practice, the correct answer, option C, which is "Explain the application of a nicotine patch," is the most appropriate task to delegate to the LPN/LVN. This is because the LPN/LVN, under the guidance of the RN or healthcare provider, can provide education on the proper application of a nicotine patch as part of a smoking cessation plan. LPNs/LVNs are trained to provide patient education and support in various healthcare interventions. Option A, developing a 'quit plan,' involves a higher level of assessment and critical thinking, which is typically within the scope of practice of an RN. Option B, discussing strategies to avoid relapse, requires a deeper understanding of behavioral interventions and psychological support, which is also more suitable for an RN. Option D, suggesting ways to deal with urges for tobacco, involves ongoing monitoring and evaluation of the patient's progress in smoking cessation, which is best managed by an RN. By delegating the task of explaining the application of a nicotine patch to the LPN/LVN, the RN can allocate responsibilities effectively, ensuring that each team member works within their scope of practice to provide comprehensive care to patients. This educational context emphasizes the importance of understanding delegation principles in nursing practice to optimize patient outcomes and promote efficient teamwork among healthcare providers.