What is the priority nursing diagnosis for a client with inadequate production of platelets?

Risk for Injury related to increased bleeding tendency

Risk for Infection related to decreased antibody production

Decreased Cardiac Output related to hypovolemia

Impaired Gas Exchange related to decreased oxygen-carrying capacity

Answer and Explanation

The Correct Answer is A

A.   Inadequate production of platelets results in an increased risk of bleeding, making the client vulnerable to injury. Therefore, the priority nursing diagnosis is "Risk for Injury related to increased bleeding tendency."
B.   Decreased antibody production is not directly related to inadequate platelet production.
C.   While decreased platelet production may contribute to hypovolemia in some cases, the primary concern is the risk of bleeding rather than decreased cardiac output.
D.   Impaired gas exchange is not directly related to inadequate platelet production.

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Free Nursing Study Resources

Correct Answer is ["A","B","D","E"]

Explanation

A. Feeling for changes in the underarm area is important as breast tissue extends into this region and lumps can form there.
B. Since menopausal women do not have periods, they can perform BSE at any consistent time each month to help remember to do it regularly.
C. Pressing the breasts too firmly could cause discomfort and is not necessary for detecting lumps.
D. Performing BSE in the shower is effective because the soapy water allows the fingers to move smoothly over the skin.
E. Using fingertips is the proper technique for checking breasts, as it allows for more sensitivity in detecting changes in the breast tissue.

A. Prostate specific antigen B. Enzyme-linked immunosorbent assay (ELISA) C. Venereal disease research laboratory (VDRL) D. Western blot test

Correct Answer is C

Explanation

A. Prostate specific antigen: This test is used to screen for prostate cancer, not for diagnosing syphilis.
B. Enzyme-linked immunosorbent assay (ELISA): While ELISA can be used to detect antibodies for various infections, it is not the first-line test for syphilis.
C. Venereal disease research laboratory (VDRL): The VDRL test is commonly used to screen for syphilis, especially in the presence of a genital chancre.
D. Western blot test: This test is more commonly used to confirm HIV infection, not for initial syphilis screening.

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What is the priority nursing diagnosis for a client with inadequate production of platelets?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing breast self-examination (BSE) teaching with a client who is menopausal. Which of the following statements by the client indicate an understanding of the teaching? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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Correct Answer is C

Explanation

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