A nurse is caring for a client who is at risk of hemorrhage. What action should the nurse take to prevent bleeding episodes?

Administer low-dose aspirin as prescribed.

Encourage the client to participate in contact sports.

Use a soft-bristled toothbrush for oral care.

Monitor platelet levels daily.

Answer and Explanation

The Correct Answer is C

A) Incorrect. Aspirin is an antiplatelet medication and can increase the risk of bleeding, so it should be avoided in clients at risk of hemorrhage.

B) Incorrect. Encouraging the client to participate in contact sports can increase the risk of trauma and bleeding, and it is not a preventive action.

C) Correct. Using a soft-bristled toothbrush for oral care can prevent gum and oral tissue injury, reducing the risk of bleeding in vulnerable clients.

D) Incorrect. Monitoring platelet levels daily is not a preventive action but a method of assessing the client's clotting status.

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Correct Answer is A

Explanation

A) Correct. Chronic use of NSAIDs, such as ibuprofen and aspirin, can irritate the stomach lining and increase the risk of gastric ulcers, including duodenal ulcers.

B) Incorrect. A diet high in fiber and whole grains is generally beneficial and does not directly cause duodenal ulcers.

C) Incorrect. While acidic foods and beverages may aggravate existing ulcers, they are not the primary cause of the ulcer.

D) Incorrect. Excessive intake of vitamin K-rich foods can promote blood clotting and is not a cause of duodenal ulcers.

A. Administering pain medication for comfort. B. Initiating blood transfusion as prescribed. C. Providing emotional support to the client. D. Encouraging deep breathing exercises.

Correct Answer is B

Explanation

A) Incorrect. While pain management is important, it is not the priority in the management of massive hemorrhage and hypovolemia.

B) Correct. The priority intervention for a client experiencing massive hemorrhage and hypovolemia is to initiate a blood transfusion to replace lost blood and improve oxygen-carrying capacity.

C) Incorrect. Emotional support is essential, but it is not the priority in the acute management of hemorrhage and hypovolemia.

D) Incorrect. Deep breathing exercises are not the priority when the client is experiencing massive hemorrhage and requires urgent interventions to stabilize their condition.

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A nurse is caring for a client who is at risk of hemorrhage. What action should the nurse take to prevent bleeding episodes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted to the hospital with a bleeding duodenal ulcer. What should the nurse identify as the primary cause of the ulcer?

Correct Answer is A

Explanation

A nurse is caring for a client who is experiencing massive hemorrhage. Which intervention should the nurse prioritize to address hypovolemia?

Correct Answer is B

Explanation

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