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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Informing the client that their name cannot be removed once listed may deter individuals from considering organ donation. In reality, individuals can update or revoke their consent at any time.
B. Organ donation requires documented consent, either through advance directives or donor registry enrollment. Verbal consent alone is not sufficient. The nurse should educate the client about the importance of documenting their wishes regarding organ donation.
C. Declaring that the nurse cannot be a witness for consent is inaccurate. Witnesses may be required depending on local regulations, but healthcare professionals can serve as witnesses.
D. Specifying a minimum age requirement for organ donation is incorrect. Organ donation eligibility depends on various factors beyond age, such as overall health and the condition of organs at the time of death.
Correct Answer is B
Explanation
A: Placing the bedside table at the foot of the bed may not directly reduce the risk of injury for a client with dementia.
B: Assisting the client to the toilet frequently can prevent falls and accidents associated with incontinence, which are common concerns for clients with dementia.
C: Raising the side rails up can potentially increase the risk of injury if the client attempts to climb over them, leading to falls or entrapment.
D: Keeping the television on during the night may not directly address the risk of injury for the client.
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