A nurse is teaching a client with newly diagnosed hemophilia about home care practices. What statements by the client indicate that teaching has been effective? Select all that apply.

“I will use a soft toothbrush to decrease bleeding from my gums.”.

“If I get a headache, I will take ibuprofen instead of aspirin.”.

“I will report excessive bleeding to my provider and use precautions to protect my head and joints.”.

“I need clotting factor treatments for the rest of my life if a bleed occurs.”.

“I may experience warm, painful joints and should apply heat if that occurs.”.

Answer and Explanation

Correct Answer : A,C

Choice A is correct because using a soft toothbrush can decrease the risk of bleeding from the gums, which is a common site of bleeding for people with hemophilia.

Choice C is correct because reporting excessive bleeding to the provider and using precautions to protect the head and joints are important aspects of home care for hemophilia.

Choice B is wrong because ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can interfere with platelet function and increase bleeding tendency. People with hemophilia should avoid NSAIDs and use acetaminophen instead for pain relief.

Choice D is wrong because clotting factor treatments are not only needed when a bleed occurs but also as a preventive measure to reduce the frequency and severity of bleeding episodes. People with severe hemophilia need regular clotting factor replacement therapy for the rest of their lives.

Choice E is wrong because warm, painful joints are signs of joint bleeding, which is a serious complication of hemophilia that can lead to permanent joint damage.

People with hemophilia should not apply heat to their joints, but rather use ice packs, compression, elevation and rest to reduce swelling and pain. They should also seek medical attention and receive clotting factor replacement therapy as soon as possible.

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Correct Answer is C

Explanation

This is because responding inappropriately to questions can indicate that the client has difficulty hearing or understanding what is being asked. According to, hearing loss makes communication with the outside world difficult, and can result in new or exaggerated symptoms that are mistakenly attributed to cognitive decline.

Choice A is wrong because speaking in a low voice does not necessarily imply hearing loss. It could be due to other factors such as shyness, anxiety, or vocal cord problems.

Choice B is wrong because refusing to answer questions does not necessarily imply hearing loss.

It could be due to other factors such as lack of interest, defiance, or distrust.

Choice D is wrong because looking away from persons while speaking does not necessarily imply hearing loss.

It could be due to other factors such as cultural norms, eye contact avoidance, or distraction.

A. “Surgery is your only choice. You need this operation.”. B. “Whether or not you have the surgery is your choice. What is your understanding of the situation?”. C. “I hear you. D. I wouldn’t want surgery either.

Correct Answer is B

Explanation

What is your understanding of the situation?”. This is a therapeutic response because it respects the client’s autonomy and invites them to share their concerns and feelings about the surgery.

Choice A is wrong because it is authoritarian and dismissive of the client’s feelings. It does not acknowledge the client’s right to refuse treatment.

Choice C is wrong because it is nontherapeutic and shows agreement with the client’s refusal. It also implies that the nurse and the doctor are on different sides.

Choice D is wrong because it is manipulative and guilt-tripping. It implies that the client does not care about their loved ones or their own life.

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A nurse is teaching a client with newly diagnosed hemophilia about home care practices. What statements by the client indicate that teaching has been effective? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client behavior is indicative of hearing loss?

Correct Answer is C

Explanation

A client states “I don’t want to have surgery.” Which of the following is a therapeutic response to the client?

Correct Answer is B

Explanation

The nurse is caring for a client at risk for a respiratory infection. Which of the following natural respiratory defense mechanisms help defend against infection? (Select all that apply).

The nurse evaluates the client hydration status, using what assessment techniques? Select all that apply.

The nurse calls the healthcare provider using SBAR Communication. Which statement should the nurse make first?

A nurse is reluctant to pray when a client requests to pray together. Which statement by the nurse would best meet the client’s spiritual needs?

The nurse has developed a pain management plan for a client who has a history of opioid drug abuse. Which of the following statements by the client demonstrates understanding of the pain management plan?

Which action is essential when assessing for drainage in a client with a large abdominal wound?

Which statement best documents the situation when a client becomes extremely agitated after receiving a sedative?

A nurse is developing a plan of care for a client diagnosed with constipation. Which nursing interventions should be included in planning? (Select all that apply).