The nurse caring for an older adult with a diagnosis of leukemia would encourage the client to use an electric razor. What is the rationale for this statement by the nurse?
The client is not at risk for infection from microorganisms.
Trauma and microabrasions from a non-electric razor may contribute to anemia.
Strong tissues and intact clotting mechanisms may prevent hemorrhage.
The client is at risk for spontaneous and uncontrolled bleeding.
The Correct Answer is D
A. The client is not at risk for infection from microorganisms: Leukemia and its treatment often cause immunosuppression, making clients more vulnerable to infections. This statement is inaccurate in the context of leukemia care.
B. Trauma and microabrasions from a non-electric razor may contribute to anemia: Minor skin injuries do not directly cause anemia, which in leukemia results from bone marrow suppression. However, these injuries can lead to bleeding, which is a greater concern.
C. Strong tissues and intact clotting mechanisms may prevent hemorrhage: Clients with leukemia often have impaired clotting due to thrombocytopenia. Assuming normal clotting is inappropriate, as these clients may bleed excessively even with minor trauma.
D. The client is at risk for spontaneous and uncontrolled bleeding: Thrombocytopenia is common in leukemia, increasing the risk of bleeding from even minor cuts. An electric razor minimizes the chance of skin injury and is a safety measure to prevent hemorrhage.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Give the client one medicine at a time and observe for allergic reactions: This approach is unsafe and reactive rather than preventive. Administering medications without confirming ingredients risks triggering a serious allergic reaction.
B. Administer the medications that the physician ordered: Medications should never be given without verifying they are safe for the client, especially when allergies are known. Doing so could result in a life-threatening hypersensitivity response.
C. Consult drug references to make sure the medicines do not contain substances to which the client is hypersensitive: This is the safest and most appropriate action. The nurse must verify all ordered medications to ensure they do not contain allergens. Cross-checking with reliable drug references ensures safe administration.
D. Call the pharmacy and let them know the client has several drug allergies: While notifying the pharmacy is helpful, the nurse is still responsible for verifying medication safety before administration. This action alone does not replace the need for direct confirmation of drug components.
Correct Answer is ["A","C","D","E"]
Explanation
A. Industrial pollutants: Exposure to chemicals like asbestos, wood dust, and other occupational irritants increases the risk of laryngeal cancer. Workers in industrial settings may inhale carcinogens that affect the larynx.
B. Region of country lived in: Geographic region is not a direct risk factor for laryngeal cancer. While environmental exposures vary by region, the location itself does not independently increase risk without other contributing factors.
C. Alcohol: Chronic alcohol use is a well-known risk factor for laryngeal cancer. When combined with tobacco use, the risk significantly increases due to synergistic effects on mucosal tissue.
D. Age: The risk for laryngeal cancer rises with age, especially in individuals over 55. Age-related changes in tissue and longer cumulative exposure to carcinogens contribute to higher risk.
E. Tobacco: Tobacco use, including smoking and chewing, is the most significant risk factor for laryngeal cancer. It causes direct irritation and genetic mutations in the epithelial lining of the larynx.
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