All-in-One Nursing Care Planning
Resource
Medical-Surgical, Pediatric,
Maternity, and Psychiatric-Mental
Health
5th Edition
• Author(s)Pamela L. Swearingen;
Jacqueline Wright
TEST BANK
,Cancer Care (Questions 1–10)
1. MCQ
Clinical scenario: A 61-year-old receiving myelosuppressive
chemotherapy asks what food choice is safest while the
absolute neutrophil count is 480/mm³.
Question stem: Which meal choice is the best teaching point
for infection prevention?
Answer options:
A. Garden salad with ranch dressing
B. Turkey sandwich from the deli case
C. Hot vegetable soup with peeled fruit
D. Unpasteurized yogurt drink
Correct answer: C
Detailed rationale: Patients with neutropenia should avoid raw
produce, deli foods, and unpasteurized products because they
can carry pathogens. Cooked foods and peeled fruit reduce
exposure to microorganisms and are safer choices during severe
neutropenia.
Incorrect option analysis:
• A: Raw vegetables may contain bacteria despite washing;
common misconception is that “fresh” always means safe.
• B: Deli meats can harbor Listeria and other organisms;
safety risk is foodborne infection.
, • D: Unpasteurized products increase infection risk; the
misconception is that probiotics or “natural” products are
harmless.
Nursing process linkage: Implementation
NCJMM competencies: Recognize Cues; Take Action
Difficulty level: Easy
Bloom’s level: Apply
NCLEX client needs: Safety and Infection Control
Nursing diagnosis integration: Risk for infection related to
chemotherapy-induced neutropenia; risk factors include low
ANC and impaired immune defenses.
Expected outcome: Patient selects neutropenia-safe foods
before discharge teaching ends.
Key learning objective: Identify infection-prevention teaching
for neutropenic patients.
2. SATA
Clinical scenario: A patient receiving chemotherapy reports a
sore mouth, painful swallowing, and mild oral redness after the
second cycle.
Question stem: Which nursing interventions should be included
in the plan of care? Select all that apply.
Answer options:
A. Use a soft-bristled toothbrush
, B. Rinse the mouth with salt and baking soda solution
C. Use alcohol-based mouthwash after meals
D. Avoid spicy, acidic, or rough-textured foods
E. Report inability to maintain hydration
Correct answers: A, B, D, E
Detailed rationale: Oral mucositis is common with
chemotherapy and can impair nutrition, hydration, and
infection defense. Soft oral care, bland rinses, and diet
modification reduce trauma; inability to drink fluids signals
worsening severity and possible need for escalation.
Incorrect option analysis:
• C: Alcohol-based rinses irritate mucosal tissue;
misconception is that stronger mouthwash is more
cleansing.
• A/B/D/E are correct and support symptom control,
hydration, and safety.
Nursing process linkage: Implementation
NCJMM competencies: Recognize Cues; Generate Solutions;
Take Action
Difficulty level: Moderate
Bloom’s level: Apply
NCLEX client needs: Basic Care and Comfort; Pharmacological
and Parenteral Therapies
Resource
Medical-Surgical, Pediatric,
Maternity, and Psychiatric-Mental
Health
5th Edition
• Author(s)Pamela L. Swearingen;
Jacqueline Wright
TEST BANK
,Cancer Care (Questions 1–10)
1. MCQ
Clinical scenario: A 61-year-old receiving myelosuppressive
chemotherapy asks what food choice is safest while the
absolute neutrophil count is 480/mm³.
Question stem: Which meal choice is the best teaching point
for infection prevention?
Answer options:
A. Garden salad with ranch dressing
B. Turkey sandwich from the deli case
C. Hot vegetable soup with peeled fruit
D. Unpasteurized yogurt drink
Correct answer: C
Detailed rationale: Patients with neutropenia should avoid raw
produce, deli foods, and unpasteurized products because they
can carry pathogens. Cooked foods and peeled fruit reduce
exposure to microorganisms and are safer choices during severe
neutropenia.
Incorrect option analysis:
• A: Raw vegetables may contain bacteria despite washing;
common misconception is that “fresh” always means safe.
• B: Deli meats can harbor Listeria and other organisms;
safety risk is foodborne infection.
, • D: Unpasteurized products increase infection risk; the
misconception is that probiotics or “natural” products are
harmless.
Nursing process linkage: Implementation
NCJMM competencies: Recognize Cues; Take Action
Difficulty level: Easy
Bloom’s level: Apply
NCLEX client needs: Safety and Infection Control
Nursing diagnosis integration: Risk for infection related to
chemotherapy-induced neutropenia; risk factors include low
ANC and impaired immune defenses.
Expected outcome: Patient selects neutropenia-safe foods
before discharge teaching ends.
Key learning objective: Identify infection-prevention teaching
for neutropenic patients.
2. SATA
Clinical scenario: A patient receiving chemotherapy reports a
sore mouth, painful swallowing, and mild oral redness after the
second cycle.
Question stem: Which nursing interventions should be included
in the plan of care? Select all that apply.
Answer options:
A. Use a soft-bristled toothbrush
, B. Rinse the mouth with salt and baking soda solution
C. Use alcohol-based mouthwash after meals
D. Avoid spicy, acidic, or rough-textured foods
E. Report inability to maintain hydration
Correct answers: A, B, D, E
Detailed rationale: Oral mucositis is common with
chemotherapy and can impair nutrition, hydration, and
infection defense. Soft oral care, bland rinses, and diet
modification reduce trauma; inability to drink fluids signals
worsening severity and possible need for escalation.
Incorrect option analysis:
• C: Alcohol-based rinses irritate mucosal tissue;
misconception is that stronger mouthwash is more
cleansing.
• A/B/D/E are correct and support symptom control,
hydration, and safety.
Nursing process linkage: Implementation
NCJMM competencies: Recognize Cues; Generate Solutions;
Take Action
Difficulty level: Moderate
Bloom’s level: Apply
NCLEX client needs: Basic Care and Comfort; Pharmacological
and Parenteral Therapies
