A nurse is providing discharge education to a client with a history of bleeding disorders. Which instruction should the nurse include to promote client safety?

"Avoid using electric razors for shaving."

"Limit your fluid intake to prevent overhydration."

"Participate in high-impact exercise regularly."

"Take over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) as needed for pain."

Answer and Explanation

The Correct Answer is A

A) Correct. Electric razors are safer than traditional razors because they reduce the risk of cuts and bleeding in clients with bleeding disorders.

B) Incorrect. Adequate hydration is essential for overall health, and limiting fluid intake is not recommended for clients with bleeding disorders.

C) Incorrect. High-impact exercises can increase the risk of injury and bleeding in clients with bleeding disorders. Low-impact exercises are preferable.

D) Incorrect. Nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the risk of bleeding and should be avoided by clients with bleeding disorders.

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Correct Answer is B

Explanation

A) Incorrect. Bradycardia is not typically an early sign of compensatory response to hypovolemia. The body often responds to hypovolemia with an increased heart rate (tachycardia).

B) Correct. In the early stages of hypovolemia, the body may attempt to compensate by increasing blood pressure to maintain perfusion to vital organs.

C) Incorrect. Warm, flushed skin may be present in the initial stages of hypovolemia, but it is not necessarily an early sign of compensatory response.

D) Incorrect. Decreased urine output is a later sign of hypovolemia when the body's compensatory mechanisms are no longer effective in maintaining blood flow to the kidneys.

A. Increase consumption of vitamin C-rich foods. B. Avoid red meat and poultry products. C. Decrease intake of leafy green vegetables. D. Limit dairy products in the diet.

Correct Answer is A

Explanation

A) Correct. Increasing consumption of vitamin C-rich foods can enhance iron absorption, which is essential for replenishing iron stores in clients at risk of anemia due to hemorrhage.

B) Incorrect. Red meat and poultry products are good sources of heme iron, which is highly absorbable and beneficial for individuals at risk of anemia.

C) Incorrect. Leafy green vegetables are excellent sources of non-heme iron, which is also essential for iron intake in the diet.

D) Incorrect. Dairy products do not significantly impact iron intake and can be included in the diet unless the client has specific dietary restrictions.

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A nurse is providing discharge education to a client with a history of bleeding disorders. Which instruction should the nurse include to promote client safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is brought to the emergency department with suspected internal bleeding. Which assessment finding would the nurse identify as an early sign of compensatory response to hypovolemia?

Correct Answer is B

Explanation

A client has experienced a significant hemorrhage and is at risk of developing anemia. Which dietary recommendation should the nurse provide to the client to support iron intake?

Correct Answer is A

Explanation

A nurse is caring for a client with hypovolemic shock due to hemorrhage. Which intervention should the nurse prioritize during the initial resuscitation phase?

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A nurse is preparing to administer a blood transfusion to a client with significant blood loss. What is the nurse's most important action before starting the transfusion?

A client with suspected bleeding disorders is scheduled for a bone marrow aspiration. Which statement made by the client indicates a correct understanding of the procedure?

A nurse is caring for a client diagnosed with disseminated intravascular coagulation (DIC). What should the nurse recognize as the underlying mechanism of DIC?

A nurse is monitoring a client for potential hemorrhage after a medical procedure. Which vital sign change is an early indicator of internal bleeding?