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: While social workers can assist with many aspects of care, they may not always be able to provide legal representation or assistance.

B: While legal representation can be helpful, advance directives can be valid and legally binding documents even without it.
C: Verbal agreements are generally not sufficient for advance directives; written documentation is typically required.
D: While medical care can be initiated regardless of advance directives, it's important to inform the client that they can create directives without immediate legal assistance.

A. 6 mL/hr. B. 25 mL/hr. C. 30 mL/hr. D. 35 mL/hr.

Correct Answer is A

Explanation

To calculate the IV infusion rate for dopamine hydrochloride, we first need to convert the dose from micrograms per kilogram per minute (mcg/kg/min) to milligrams per hour (mg/hr). The patient weighs 80 kg and the prescribed dose is 4 mcg/kg/min.

First, calculate the dose in mcg/hr: 4 mcg/kg/min x 80 kg x 60 min/hr = 19200 mcg/hr.

Next, convert mcg to mg: 19200 mcg/hr / 1000 mcg/mg = 19.2 mg/hr.

We have an 800 mg dopamine hydrochloride solution in a 250 mL bag. To find out how many mL/hr to administer, we use the following proportion:

(800 mg / 250 mL) = (19.2 mg / X mL).

Solving for X gives us X = (19.2 mg * 250 mL) / 800 mg, which equals 6 mL/hr.

Therefore, the nurse should set the IV infusion pump to deliver 6 mL/hr.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

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