A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply.)
Blow nose gently.
Lubricate lips with water-soluble ointment.
Use a straightedge razor to shave.
Brush teeth with a soft toothbrush.
Limit fruit consumption.
Correct Answer : A,B,D
Choice A reason: Blowing the nose gently is advised to prevent nosebleeds, which can be a risk due to thrombocytopenia.
Choice B reason: Lubricating lips with water-soluble ointment can prevent cracking and bleeding, which is important for a patient with thrombocytopenia.
Choice C reason: Using a straightedge razor is not recommended because it can increase the risk of cuts and bleeding. An electric razor would be safer.
Choice D reason: Brushing teeth with a soft toothbrush is recommended to prevent gum bleeding due to the low platelet count associated with thrombocytopenia.
Choice E reason: Limiting fruit consumption is not necessary for thrombocytopenia unless the patient has a specific condition that requires dietary restrictions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This is incorrect. While gentle hair care is important, it is not as critical as sun protection for SLE patients.
Choice B reason: This is incorrect. Powder can be drying, and SLE patients often need to keep their skin moisturized.
Choice C reason: This is correct. SLE patients are often photosensitive and need to protect their skin from UV rays.
Choice D reason: This is incorrect. SLE patients should keep their skin well moisturized to prevent dryness.
Correct Answer is ["A","B","C"]
Explanation
Choice A: Apply heat for 10 minutes every hour
Applying heat can help to relax the muscles and relieve tension, which can reduce pain. Heat therapy increases blood flow, which can aid in healing and reduce stiffness.
Choice B: Sleep in a side lying position with flexed knees
Sleeping in a side-lying position with flexed knees can help to maintain the natural curve of the spine and reduce strain on the back muscles. It's also recommended to use a pillow between the knees for additional support.
Choice C: Avoid prolonged sitting
Prolonged sitting can put pressure on the discs in your lower back and cause or exacerbate pain. It's recommended to take regular breaks to stand up and move around.
Choice D: Use padded shoe insoles
While padded shoe insoles can provide comfort and support for some people, there's no strong evidence to suggest that they can help to prevent or relieve back pain.
Choice E: Sleep on a soft mattress
Contrary to popular belief, a soft mattress may not be the best choice for people with back pain. A mattress that's too soft can cause your back to sink into the mattress, leading to poor sleep posture and discomfort. It's generally recommended to choose a mattress that provides good support and maintains the spine's natural alignment.
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