A client with leukemia is at risk of bleeding due to low platelet count. Which activity should the nurse instruct the client to avoid to prevent bleeding episodes?

Gentle stretching exercises

Deep vein thrombosis (DVT) prophylaxis

Use of soft-bristled toothbrush

Vigorous nose blowing

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because gentle stretching exercises are generally safe and do not significantly increase the risk of bleeding in clients with low platelet counts.

B) This choice is incorrect because deep vein thrombosis (DVT) prophylaxis, such as leg exercises and anti-embolism stockings, is essential to prevent blood clots but is not directly related to bleeding risk.

C) This choice is incorrect because using a soft-bristled toothbrush helps prevent gum bleeding and trauma to the oral mucosa but does not address the risk of bleeding from other areas.

D) This choice is correct. Vigorous nose blowing can lead to trauma to the nasal mucosa and increase the risk of bleeding, especially in clients with low platelet counts who are prone to bleeding episodes.

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Correct Answer is D

Explanation

A) This choice is incorrect because leukemia is not always caused by inherited genetic mutations. While genetic factors can contribute to the development of some types of leukemia, it is not the only cause.

B) This choice is incorrect because there are known genetic links to certain types of leukemia. For example, some forms of leukemia, such as chronic myeloid leukemia (CML), are associated with specific genetic mutations.

C) This choice is incorrect because genetic factors and environmental factors can both play a role in the development of leukemia. Some cases may be influenced more by genetic factors, while others may be influenced more by environmental factors.

D) This choice is correct. Leukemia can have various causes, including genetic mutations, exposure to certain environmental factors (e.g., radiation, certain chemicals), and viral infections. While some cases may have a genetic basis, others may be triggered by environmental factors or have an unknown cause.

A. "Leukemia is a type of cancer that affects the lymph nodes." B. "It is a condition characterized by the overproduction of platelets in the bone marrow." C. "Leukemia is cancer of the blood, where abnormal white blood cells multiply uncontrollably." D. "It is an autoimmune disorder that causes destruction of red blood cells."

Correct Answer is C

Explanation

A) This choice is incorrect because leukemia does not primarily affect the lymph nodes. It is a cancer of the blood and bone marrow, where abnormal white blood cells are produced.

B) This choice is incorrect because leukemia is not characterized by the overproduction of platelets. Platelets are involved in blood clotting, and their overproduction is not a feature of leukemia.

C) This choice is correct. Leukemia is a type of cancer characterized by the uncontrolled proliferation of abnormal white blood cells in the bone marrow. These abnormal cells then enter the bloodstream, crowding out healthy blood cells and impairing normal blood cell function.

D) This choice is incorrect because leukemia is not an autoimmune disorder. It is a cancerous condition involving abnormal white blood cell growth.

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A client with leukemia is at risk of bleeding due to low platelet count. Which activity should the nurse instruct the client to avoid to prevent bleeding episodes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client newly diagnosed with leukemia. The client asks, "Is leukemia a genetic condition?" How should the nurse respond?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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