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 wipe my nose instead of blowing it."

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

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

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

Answer and Explanation

The Correct Answer is A

A.   Wiping the nose instead of blowing it reduces the risk of trauma to the nasal mucosa, which can lead to bleeding, especially in individuals with thrombocytopenia.
B.   Removing shoes inside the house is a general hygiene practice and does not specifically address the risk of bleeding associated with thrombocytopenia.
C.   Using an enema to manage constipation is unrelated to thrombocytopenia and may not be indicated without further assessment and guidance from healthcare providers.
D.   While oral hygiene is important, flossing may increase the risk of gum bleeding in individuals with thrombocytopenia, and its frequency should be discussed with healthcare providers.

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Correct Answer is B

Explanation

A. Providing a cooling blanket may help reduce fever associated with a thyroid storm but is not the priority over monitoring the cardiac rhythm.
B. In a thyroid storm, the client is at risk for severe cardiovascular complications, including tachycardia, arrhythmias, and heart failure. Therefore, the nurse's priority action is to monitor the client's cardiac rhythm continuously to detect any abnormalities promptly and intervene as needed.
C. Administering 0.9% sodium chloride IV may be necessary to maintain fluid balance, but it's not the priority over cardiac monitoring.
D. Obtaining the client's blood glucose may be relevant but is not the priority in the acute management of a thyroid storm.

A. Educate clients who are at risk for Parkinson's disease about maintaining a low- cholesterol diet. B. Provide screenings for community members to identify early manifestations of Parkinson's disease. C. Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease. D. Educate clients about common techniques used to diagnose Parkinson's disease.

Correct Answer is C

Explanation

A. This is a primary prevention strategy aimed at reducing the risk of developing Parkinson's disease.
B. This is a secondary prevention strategy aimed at detecting Parkinson's disease in its early stages.
C. Tertiary prevention aims to reduce the impact of a disease or injury that has already occurred. In Parkinson's disease, daily exercise classes can help improve mobility and functionality, thus reducing the impact of the disease.
D. This is also a secondary prevention strategy aimed at early detection of Parkinson's disease.

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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

A nurse is caring for a client who has Graves' disease and is experiencing a thyroid storm. Which of the following actions is the nurse's priority?

Correct Answer is B

Explanation

A nurse is planning a community health program about Parkinson's disease. Which of the following interventions should the nurse Include as a tertiary prevention strategy?

Correct Answer is C

Explanation

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