A nurse is caring for a patient with aplastic anemia. Which of the following would not be appropriate to include in the care plan?
Advise the client to use an electric shaver instead of a straight razor.
Encourage the client to blow their nose frequently to remove infectious organisms
Coordinate activities, allowing for rest breaks.
Don a surgical mask when entering the client's room.
The Correct Answer is B
A. Using an electric shaver reduces the risk of cuts and bleeding.
B. Clients with aplastic anemia are at high risk for bleeding due to thrombocytopenia; frequent nose blowing can cause nasal trauma and bleeding.
C. Fatigue is common in aplastic anemia due to anemia and decreased oxygen-carrying capacity, so allowing for rest is essential.
D. A surgical mask helps protect the immunocompromised client from infections due to neutropenia.
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Related Questions
Correct Answer is D
Explanation
A. Collecting saliva samples does not pose a high risk, as HIV is not transmitted through saliva.
B. Occupational therapists generally do not have exposure to body fluids in a way that increases HIV risk.
C. Personal trainers do not have exposure to clients’ blood or body fluids in a way that increases transmission risk.
D. A phlebotomist handling blood samples has the highest risk of occupational exposure to HIV, particularly through needlestick injuries or improper handling of blood specimens.
Correct Answer is D
Explanation
A. Vitamin B6 is important for overall health but does not treat pernicious anemia.
B. Increasing dietary intake of B12-rich foods like red meat and liver is ineffective since the body cannot absorb B12 due to intrinsic factor deficiency.
C. While some anemias affect bone marrow function, pernicious anemia is not associated with increased infection and bleeding risk.
D. Pernicious anemia is caused by a lack of intrinsic factor, which is necessary for vitamin B12 absorption. Since dietary B12 cannot be absorbed, lifelong vitamin B12 injections are required.
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