A nurse is providing teaching to a client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching?

"I will use an enema to manage my constipation."

"I will remove my shoes when I'm inside my house."

"I will wipe my nose instead of blowing it."

"I will floss between my teeth every time I brush."

Answer and Explanation

The Correct Answer is C

A) "I will use an enema to manage my constipation.": This statement is concerning because enemas can cause trauma to the rectal mucosa, which may lead to bleeding in a client with thrombocytopenia. Therefore, this action is not advisable and indicates a lack of understanding of safe practices.

B) "I will remove my shoes when I'm inside my house.": While removing shoes can help maintain cleanliness, it does not directly relate to managing thrombocytopenia or preventing bleeding. This statement does not reflect an understanding of the specific precautions needed for a client with low platelet counts.

C) "I will wipe my nose instead of blowing it.": This statement demonstrates an understanding of the need to minimize trauma to the nasal passages. Blowing the nose can increase the risk of bleeding in individuals with thrombocytopenia, so wiping is a safer alternative.

D) "I will floss between my teeth every time I brush.": Flossing can be harmful for a person with thrombocytopenia, as it may cause gum bleeding. Clients are often advised to avoid flossing to reduce the risk of bleeding, indicating that this statement reflects a misunderstanding of appropriate oral care practices for their condition.

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Correct Answer is D

Explanation

A) Document assessment findings and interventions after providing care for a group of clients:Delaying documentation until after providing care for a group of clients can lead to incomplete or inaccurate records. Timely documentation is essential for maintaining accurate client records and ensuring continuity of care.

B) Delay cleaning personal work area until the end of the shift:Delaying the cleaning of the personal work area can lead to disorganization and potential safety hazards. Maintaining a clean and organized work area throughout the shift helps improve efficiency and safety.

C) Gather supplies for a client’s dressing change after removing the old dressing:Gathering supplies after removing the old dressing can lead to delays and increased risk of infection. It is more efficient to gather all necessary supplies before starting the procedure to ensure a smooth and timely dressing change.

D) Complete activities for one client before moving to the next client:Completing activities for one client before moving to the next client helps ensure that each client receives focused and uninterrupted care. This approach minimizes the risk of errors and enhances time management by reducing the need to switch tasks frequently.

A. Frequent nosebleeds B. Increased intracranial pressure C. Upper extremity hypotension D. Weak femoral pulses

Correct Answer is D

Explanation

A. Frequent nosebleeds: While hypertension can occur in coarctation of the aorta, frequent nosebleeds are not a typical finding associated with this condition.

B. Increased intracranial pressure: This is not a direct finding of coarctation of the aorta. Increased intracranial pressure may be related to other conditions, but it is not specifically expected in this context.

C. Upper extremity hypotension: In coarctation of the aorta, the upper extremities usually experience higher blood pressure due to the narrowing of the aorta distal to the branches supplying the arms. Therefore, hypotension in the upper extremities is not expected.

D. Weak femoral pulses: This is an expected finding in coarctation of the aorta, as the narrowing of the aorta can lead to decreased blood flow to the lower body, resulting in weak or diminished femoral pulses compared to the upper extremities.

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A nurse is providing teaching to a client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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