The nurse provides education regarding daily activities to a patient with thrombocytopenia.
Which activity identified by the patient indicates understanding of the teaching?
Flossing using thick tape floss.
Shaving using an electric razor.
Wearing flip-flops to go walking.
Brushing using a stiff-bristle toothbrush.
The Correct Answer is B
Choice A rationale:
Flossing using thick tape floss can cause trauma to the gums and may lead to bleeding in patients with thrombocytopenia. Patients with low platelet counts are at risk of excessive bleeding from minor injuries, and using thick tape floss could potentially harm the gums and exacerbate bleeding.
Choice B rationale:
Shaving using an electric razor is a safe option for patients with thrombocytopenia. Electric razors do not pose a significant risk of cuts or nicks, reducing the likelihood of bleeding, which is crucial for patients with low platelet counts.
Choice C rationale:
Wearing flip-flops to go walking may not be the safest option for a patient with thrombocytopenia. If the patient accidentally stubs their toe or injures their foot while wearing flip-flops, it could lead to bleeding. Closed-toe, comfortable shoes provide better protection against foot injuries.
Choice D rationale:
Brushing using a stiff-bristle toothbrush can be harmful to the gums, especially for patients with thrombocytopenia. Stiff-bristle toothbrushes can cause gum irritation and bleeding. Patients with low platelet counts should use a soft-bristle toothbrush to minimize the risk of gum injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Silent ischemia refers to a lack of oxygen to the heart that doesn't cause symptoms like chest pain. It is often diagnosed during an electrocardiogram (ECG) done for other reasons. The patient in this scenario is experiencing chest pain, so silent ischemia is not the correct choice.
Choice B rationale:
Angina decubitus refers to chest pain that occurs while lying down and is relieved by standing or sitting. The patient in this scenario is experiencing chest pain at rest, which is not characteristic of angina decubitus.
Choice D rationale:
Chronic stable angina is chest pain or discomfort that typically occurs with activity or stress and is relieved by rest or nitroglycerin. The patient in this scenario is experiencing chest pain at rest, which is not characteristic of chronic stable angina.
Correct Answer is ["B","D"]
Explanation
Choice B rationale:
Conjunctival pallor is a common physical finding in patients with low hemoglobin levels (anemia), leading to paleness in mucous membranes such as the conjunctiva.
Choice C rationale:
Sternal tenderness is not a typical finding associated with low hemoglobin levels and is not directly related to anemia.
Choice D rationale:
A heart rate of 104 beats/min can be a compensatory response to anemia, as explained in .
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