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.

Answer and Explanation

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.

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Correct Answer is ["C","D"]

Explanation

Choice A rationale:
Increased cobalamin levels are not indicative of polycythemia vera. Polycythemia vera is characterized by an increase in the total red blood cell mass. Elevated cobalamin levels are not specific to this condition.
Choice B rationale:
Decreased histamine levels are not a diagnostic marker for polycythemia vera. Histamine levels are not typically associated with this disorder.
Choice C rationale:
Increased hemoglobin levels are a significant finding in polycythemia vera. Polycythemia vera is a disorder characterized by an abnormal increase in the number of red blood cells, leading to elevated hemoglobin levels.
Choice D rationale:
Increased red blood cell levels are a hallmark feature of polycythemia vera. The increased production of red blood cells leads to elevated red blood cell levels, which is a key diagnostic indicator for this condition.

A. "The treatment has severe side effects, some of which will be permanent.” B. "You need to use your call light to ask for help every time you get out of bed.” C. "Prevention and early detection of infection are important during leukemia treatment.” D. "Feeling isolated is a common and unavoidable consequence of leukemia treatment.”

Correct Answer is C

Explanation

Choice A rationale:

While leukemia treatment does have severe side effects, not all of them are permanent. It is essential for the patient to be aware of potential complications but also to understand that some side effects might be temporary and can be managed with appropriate care.

Choice B rationale:

Using the call light to ask for help when getting out of bed is essential for patients receiving chemotherapy, as their immune system might be compromised, making them prone to infections and injuries. However, this information is not specific to leukemia treatment but is a general safety measure for these patients.

Choice C rationale:

Patients undergoing chemotherapy for leukemia are at an increased risk of infections due to the suppression of the immune system. Preventive measures, such as good hygiene practices and early detection of signs of infection, are crucial in managing these patients. Educating the patient about infection prevention is essential for their safety during treatment.

Choice D rationale:

Feeling isolated can be a common emotional response to any chronic illness, including leukemia. However, it is not an unavoidable consequence, and providing emotional support and involving the patient in support groups can help mitigate these feelings. This statement does not provide essential information about managing leukemia treatment.

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The nurse provides education regarding daily activities to a patient with thrombocytopenia.Which activity identified by the patient indicates understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse suspects that a patient has polycythemia vera based on which finding in the patient's laboratory reports? Select all that apply. One, some, or all responses may be correct.

Correct Answer is ["C","D"]

Explanation

Which information will the nurse include when teaching a patient who is receiving chemotherapy for leukemia?

Correct Answer is C

Explanation

A patient's arterial blood gas (ABG) values include a pH of 7.48, a PaCO2 of 38, and an HCO3- of 30. Around which acid-base imbalance would the nurse plan the patient's care?

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Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.One, some, or all responses may be correct.

The nurse recognizes that patients with von Willebrand disease are at risk for prolonged bleeding times for which reason?

A patient reports leg pain that awakens the patient at night.The patient reports that the same pain develops in the legs when they are elevated and disappears when the legs are dangled.Which condition would the nurse suspect?

Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.One, some, or all responses may be correct.

The nurse provides education regarding daily activities to a patient with thrombocytopenia.
Which activity identified by the patient indicates understanding of the teaching?