A nurse is reinforcing teaching with a client about breast self-examinations.Which of the following statements by the client indicates an understanding of the teaching?

Choice A rationale

A capillary refill time of 3 seconds is slightly prolonged but not as concerning as other symptoms. Monitoring is warranted, but it is not an immediate priority.

Choice B rationale

Cool fingers can indicate reduced circulation, but it requires further assessment to determine its significance. Immediate attention is needed if accompanied by other severe symptoms.

Choice C rationale

Severe itching can be uncomfortable and may indicate skin irritation, but it is not typically a medical emergency.

Choice D rationale

Increased pain at the fracture site can indicate complications such as compartment syndrome, which requires immediate medical intervention to prevent permanent damage.

Choice A rationale

Administering ibuprofen to a client with thrombocytopenia is contraindicated because it can further impair platelet function and increase the risk of bleeding. Alternative pain management options should be considered.

Choice B rationale

Instructing the client to shave with a disposable razor increases the risk of cuts and bleeding. An electric razor is safer for clients with thrombocytopenia due to its lower risk of causing injury.

Choice C rationale

Protective isolation is not necessary for thrombocytopenia. It is primarily used for clients with severe immunocompromise to protect them from infections. Thrombocytopenia management focuses on bleeding prevention.

Choice D rationale

Checking the client for ecchymosis is important because it indicates spontaneous bleeding under the skin, which is a common complication of thrombocytopenia. Monitoring for signs of bleeding helps manage and prevent serious outcomes.