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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A reason: Tingling in the arms can occur due to nerve compression caused by the herniated disc. This is a common symptom known as radicular pain, which can radiate from the neck down to the arms and hands.
Choice B reason: Shoulder pain is another expected finding, as the nerves affected by a cervical herniated disc can cause pain to radiate into the shoulders.
Choice C reason: Muscle spasms may be a reflexive response to the pain and inflammation caused by the herniated disc, as the body attempts to stabilize the affected area.
Choice D reason: A stiff neck can result from the muscle tension and reduced range of motion due to the pain and inflammation associated with a herniated cervical disc.
Choice E reason: Low back pain is not typically associated with a herniated cervical disc, as cervical discs are located in the neck region. Low back pain would be more indicative of a lumbar spine issue.
Correct Answer is D
Explanation
Choice A reason: The prone position is not suitable for abdominal paracentesis as it does not allow access to the abdominal cavity.
Choice B reason: The lateral position is also not suitable as it can cause the fluid to shift, making it difficult to remove.
Choice C reason: While the supine position is commonly used for many medical procedures, it is not the best choice for abdominal paracentesis due to the distribution of fluid.
Choice D reason: The upright position is preferred because it allows the fluid to pool at the lowest point of the abdominal cavity, facilitating its removal.
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