A nurse is providing care to a client with hematuria who has been diagnosed with a bleeding disorder. What nursing intervention is essential to minimize the risk of excessive bleeding?
Administering diuretics to increase urine output and dilute blood in the urinary tract.
Encouraging the client to perform strenuous physical activity to promote circulation.
Monitoring vital signs and observing for signs of bleeding or hemorrhage.
Restricting fluid intake to prevent further blood loss.
The Correct Answer is C
A) Incorrect. Administering diuretics may not be appropriate and can exacerbate dehydration in a client with hematuria.
B) Incorrect. Strenuous physical activity can increase the risk of bleeding and should be avoided in clients with hematuria and bleeding disorders.
C) Correct. Monitoring vital signs and assessing for signs of bleeding or hemorrhage is essential to ensure prompt intervention if excessive bleeding occurs.
D) Incorrect. Restricting fluid intake is not typically recommended unless there are specific medical indications. In many cases, adequate hydration is important.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect. Increasing dietary salt intake is not a recommended intervention for managing kidney stones; it can worsen the condition.
B) Incorrect. Drinking cranberry juice is not a specific treatment for kidney stones or hematuria associated with them.
C) Correct. Maintaining hydration and allowing the stone to pass naturally is a common approach to managing kidney stones and associated hematuria.
D) Incorrect. Pain medications may be needed for pain relief, but antibiotics are not typically indicated for kidney stones.
Correct Answer is B
Explanation
A) Incorrect. Excessive blood clotting is not a common underlying mechanism of hematuria.
B) Correct. Inflammation and damage to blood vessels in the urinary tract or kidneys can lead to the leakage of blood into the urine, causing hematuria.
C) Incorrect. While bacterial infections can cause hematuria, they are not the primary underlying mechanism.
D) Incorrect. Kidney stones can cause hematuria, but they are not the primary cause of hematuria itself.
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