The patient diagnosed with thrombocytopenia is at risk for which of the following adverse effects:
Select one:

Stomatitis

Diminished reflexes

Bleeding

Headache

Answer and Explanation

The Correct Answer is C

A. Stomatitis (inflammation of the mouth) can occur with chemotherapy or radiation but is not directly related to thrombocytopenia.
B. This is typically associated with neurologic disorders or electrolyte imbalances, not low platelet counts.
C. Thrombocytopenia is a low platelet count, which impairs the blood’s ability to clot. This puts the patient at high risk for bruising, prolonged bleeding, spontaneous bleeding, and internal hemorrhage.
D. While a headache may occur for various reasons, it is not a hallmark symptom or direct consequence of thrombocytopenia.

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Correct Answer is B

Explanation

A. Increasing the client’s sodium intake is contraindicated. Sodium contributes to fluid retention, which can worsen ascites in clients with cirrhosis.
B. Decreasing the client’s fluid intake is correct. Fluid restriction is often recommended for clients with ascites to help control fluid accumulation in the abdominal cavity and reduce discomfort.
C. Increasing the client’s saturated fat intake is not advisable, as it can contribute to further liver damage and complications in clients with liver disease.
D. Decreasing the client’s carbohydrate intake is unnecessary unless blood glucose control is an issue. Clients with cirrhosis often need adequate carbohydrates for energy, especially since protein intake may be limited to prevent hepatic encephalopathy.

A. Penrose Drain B. Jackson-Pratt Drain C. T-Tube Drain D. Hemovac Drain

Correct Answer is D

Explanation

A. A Penrose drain is a passive, open drain made of soft rubber tubing that allows fluid to drain onto a dressing. It is not connected to a collection device, and it does not use suction.

B. A Jackson-Pratt (JP) drain is a closed-suction drain with a bulb-shaped reservoir, not a spring-loaded drum. It works via compression to create suction.

C. A T-tube is used specifically for bile drainage after gallbladder surgery or bile duct procedures. It is shaped like a "T" and does not involve a spring-loaded mechanism.

D. The Hemovac drain is a closed-suction drainage system that uses a spring-loaded drum to create suction. It is commonly used in postoperative settings (e.g., orthopedic or abdominal surgeries) to collect blood or fluid from surgical wounds and help prevent hematoma or seroma formation.

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The patient diagnosed with thrombocytopenia is at risk for which of the following adverse effects: Select one:

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Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

Correct Answer is B

Explanation

You receive a report from the PACU nurse concerning a patient who will be returning back to the unit in 15 minutes. You were advised that the patient has a spring loaded collection drum placed near the wound. Based on your knowledge, which type of drain does the patient have?

Correct Answer is D

Explanation

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The patient diagnosed with thrombocytopenia is at risk for which of the following adverse effects:
Select one: