Which intervention is most important to teach the client who develops thrombocytopenia secondary to chemotherapy?
Use an electric razor when shaving.
Restrict visits from children under twelve-years-old.
Incorporate rest periods throughout the day.
Take your temperature day
The Correct Answer is A
A. Use an electric razor when shaving: With thrombocytopenia, the client is at an increased risk for bleeding due to low platelet counts. Using an electric razor reduces the risk of cuts and bleeding during shaving, which is critical in preventing injury.
B. Restrict visits from children under twelve-years-old: While avoiding exposure to illness is important in immunosuppressed patients, this is not as urgent a concern as preventing bleeding due to thrombocytopenia.
C. Incorporate rest periods throughout the day: Rest is important for overall well-being during chemotherapy, but it is not directly related to managing thrombocytopenia. The priority is preventing bleeding complications, such as using an electric razor.
D. Take your temperature daily: Taking temperature daily is helpful for detecting infection, but it is not the most important intervention for thrombocytopenia. Preventing bleeding should be the primary
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. History of fibrocystic breast tissue: Fibrocystic breast tissue is associated with a slightly increased risk of developing breast cancer. While it is not a direct cause, women with fibrocystic changes may have a higher likelihood of developing breast cancer, particularly if there are other risk factors present.
B. Obesity: Obesity is a well-established risk factor for breast cancer, especially after menopause. Higher levels of body fat can increase estrogen levels, which in turn may promote the growth of hormone-receptor-positive breast cancer cells.
C. BRCA1 negative: A negative BRCA1 gene test means that the individual does not carry a known genetic mutation that significantly increases the risk of breast cancer. The presence of a BRCA1 mutation is linked to a higher risk, while BRCA1 negative does not increase risk.
D. Chronic fatigue: Chronic fatigue is not a recognized risk factor for breast cancer. While it may be a symptom of other underlying conditions, it does not increase the risk of developing breast cancer.
E. Smoking: Smoking is a known risk factor for many cancers, including breast cancer. Chemicals in tobacco can cause DNA damage in breast tissue, leading to an increased risk of cancer, particularly in premenopausal women.
Correct Answer is C
Explanation
A. Measuring urine output: While urine output is important to monitor, it is not the highest priority in this situation. The main concern with a low platelet count is the risk of bleeding, so assessing for signs of internal bleeding is more critical.
B. Maintaining strict bedrest: Strict bedrest may be necessary for preventing falls and injury, but it is not the highest priority. The immediate concern with a platelet count of 47,000 is the potential for bleeding, which requires close monitoring for signs of bleeding.
C. Assessing for stool occult blood: A platelet count of 47,000 puts the client at risk for bleeding, including gastrointestinal bleeding. Assessing for occult blood in the stool is crucial, as it can indicate internal bleeding, which requires prompt intervention.
D. Drawing an ABG: Drawing an arterial blood gas (ABG) would not directly address the risk of bleeding related to a low platelet count. The priority is assessing for and preventing potential bleeding complications.
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