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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This choice is incorrect because stem cells used in transplantation are typically not extracted from the client's cancerous tissues.
B) This choice is correct. In a stem cell transplant, stem cells are collected from the bone marrow of a matched donor (allogeneic transplant) or the client themselves (autologous transplant). These stem cells are then infused into the client's bloodstream to replace the damaged bone marrow and produce healthy blood cells.
C) This choice is incorrect because stem cells used in transplantation are not taken from a tumor.
D) This choice is incorrect because stem cells used in transplantation are not harvested from the client's peripheral blood.
Correct Answer is B
Explanation
A) This choice is incorrect because assessing bone density and strength is not the primary purpose of a CT scan in the diagnostic evaluation of leukemia.
B) This choice is correct. A CT scan is commonly used to identify enlarged lymph nodes and organs, which can occur in leukemia as a result of cancerous cell proliferation and infiltration into the lymphatic system and other organs.
C) This choice is incorrect because measuring lung capacity is not the primary purpose of a CT scan in the diagnostic evaluation of leukemia.
D) This choice is incorrect because monitoring cardiac function is not the primary goal of a CT scan in the diagnostic evaluation of leukemia.
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