A client with a history of bleeding disorders presents to the emergency department with excessive bleeding from a minor cut. Which laboratory test should the nurse monitor to assess the client's clotting function?

Complete blood count (CBC)

Serum electrolytes

Prothrombin time (PT)

Blood glucose level

Answer and Explanation

The Correct Answer is C

A) Incorrect. A complete blood count (CBC) provides information about the client's red blood cells, white blood cells, and platelets, but it does not directly assess clotting function.

B) Incorrect. Serum electrolytes help assess the body's fluid balance and various organ functions, but they do not specifically indicate clotting function.

C) Correct. Prothrombin time (PT) is a measure of the time it takes for the blood to clot, primarily assessing the function of the extrinsic pathway of coagulation. It is an essential test in evaluating clotting disorders.

D) Incorrect. Blood glucose level is not directly related to clotting function and is more indicative of a client's metabolic status.

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Correct Answer is A

Explanation

A) Correct. Electric razors are safer than traditional razors because they reduce the risk of cuts and bleeding in clients with bleeding disorders.

B) Incorrect. Adequate hydration is essential for overall health, and limiting fluid intake is not recommended for clients with bleeding disorders.

C) Incorrect. High-impact exercises can increase the risk of injury and bleeding in clients with bleeding disorders. Low-impact exercises are preferable.

D) Incorrect. Nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the risk of bleeding and should be avoided by clients with bleeding disorders.

A. "I take anticoagulant medication for a heart condition." B. "I have a family history of bleeding disorders." C. "I regularly engage in low-impact exercise to stay healthy." D. "I recently underwent major abdominal surgery."

Correct Answer is C

Explanation

A) Correct. Anticoagulant medication can interfere with the body's clotting mechanism, increasing the risk of bleeding.

B) Correct. A family history of bleeding disorders can be a risk factor for hemorrhage due to potential genetic predisposition.

C) Incorrect. Regular low-impact exercise is a positive lifestyle choice that helps maintain cardiovascular health and does not directly contribute to an increased risk of hemorrhage.

D) Correct. Recent major surgery can be a risk factor for hemorrhage due to potential surgical site bleeding or complications.

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A client with a history of bleeding disorders presents to the emergency department with excessive bleeding from a minor cut. Which laboratory test should the nurse monitor to assess the client's clotting function?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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