A nurse is preparing educational material for a client who has a thrombocytopenic disorder. Which of the following information should the nurse include?
"Use a rectal suppository if constipated."
"Swish with a commercial mouthwash after brushing the teeth."
"Notify the dentist of your condition prior to invasive procedures,"
"Take aspirin for headaches."
The Correct Answer is C
A. Clients with thrombocytopenia are at increased risk of bleeding, and rectal manipulation can cause rectal mucosal injury and bleeding.
B. Some commercial mouthwashes contain alcohol or harsh chemicals that can irritate oral mucosa and increase bleeding risk in thrombocytopenic clients.
C. Clients with thrombocytopenia are at high risk for bleeding during dental procedures, so informing the dentist is crucial to prevent complications and allow appropriate precautions.
D. Aspirin inhibits platelet function and increases bleeding risk, which is contraindicated in clients with thrombocytopenia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While monitoring for fever is important because infection can precipitate a sickle cell crisis, daily temperature checks are not routinely necessary unless the child is symptomatic.
B. Limiting activity is not recommended; children should remain as active as tolerated, as regular activity helps circulation and overall health.
C. Adequate hydration is essential in preventing sickling episodes. Fluids help decrease blood viscosity, improve circulation, and reduce the risk of vaso-occlusive crises. Parents should encourage frequent oral fluid intake.
D. Cold can trigger vasoconstriction, which may worsen sickling and pain. Warm compresses are preferred to relieve pain safely.
Correct Answer is C
Explanation
A. Clients with thrombocytopenia are at increased risk of bleeding, and rectal manipulation can cause rectal mucosal injury and bleeding.
B. Some commercial mouthwashes contain alcohol or harsh chemicals that can irritate oral mucosa and increase bleeding risk in thrombocytopenic clients.
C. Clients with thrombocytopenia are at high risk for bleeding during dental procedures, so informing the dentist is crucial to prevent complications and allow appropriate precautions.
D. Aspirin inhibits platelet function and increases bleeding risk, which is contraindicated in clients with thrombocytopenia.
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