A 47-year-old male patient undergoing chemotherapy has a platelet count of 20,000 per microliter. Which of the following statements by the NP demonstrates correct education in regard to the low platelet count?
"You must avoid any family members with a cold or the flu."
"It is acceptable to take aspirin for headaches or general pain."
"You must avoid activities that could cause injuries."
"You should stop working and sleep as much as you can."
The Correct Answer is C
Choice A reason: Avoiding sick contacts is important for infection prevention, but low platelet count primarily increases bleeding risk, not infection risk.
Choice B reason: Aspirin inhibits platelet function and is contraindicated in severe thrombocytopenia, making this statement unsafe.
Choice C reason: This is correct. Patients with very low platelet counts are at high risk of bleeding; avoiding activities that could cause trauma reduces the risk of serious hemorrhage.
Choice D reason: While rest is beneficial, stopping work and sleeping excessively does not address the primary danger of thrombocytopenia, which is bleeding risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The OCI is a self-report questionnaire that measures OCD symptoms but is less comprehensive than the gold-standard clinician-administered tool.
Choice B reason: The FOCI is primarily a brief assessment tool and not widely used as the standard for severity evaluation.
Choice C reason: Y-BOCS is the gold-standard clinician-administered scale for measuring OCD severity, assessing both obsessions and compulsions systematically with validated scoring.
Choice D reason: The NIMH Global Obsessive-Compulsive Scale is less commonly used and is not considered the gold standard for OCD severity assessment.
Correct Answer is B
Explanation
Choice A reason: Simply not prescribing the medication does not address the mother’s concerns and may prevent the child from receiving needed treatment.
Choice B reason: Correct. Addressing the mother’s anxiety allows for clarification, education about ADHD medication, and shared decision-making, which improves adherence and outcomes.
Choice C reason: Continuing without addressing anxiety may leave the mother’s concerns unresolved and reduce her comfort with the treatment plan.
Choice D reason: Reassuring without explanation is dismissive and may undermine trust; it does not provide the mother with the understanding she needs.
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