A nurse is caring for a client who is at risk of hemorrhage. What action should the nurse take to prevent bleeding episodes?
Administer low-dose aspirin as prescribed.
Encourage the client to participate in contact sports.
Use a soft-bristled toothbrush for oral care.
Monitor platelet levels daily.
The Correct Answer is C
A) Incorrect. Aspirin is an antiplatelet medication and can increase the risk of bleeding, so it should be avoided in clients at risk of hemorrhage.
B) Incorrect. Encouraging the client to participate in contact sports can increase the risk of trauma and bleeding, and it is not a preventive action.
C) Correct. Using a soft-bristled toothbrush for oral care can prevent gum and oral tissue injury, reducing the risk of bleeding in vulnerable clients.
D) Incorrect. Monitoring platelet levels daily is not a preventive action but a method of assessing the client's clotting status.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Correct. Avoiding herbal supplements is important as some herbs can interact with anticoagulant medications and affect their effectiveness.
B) Correct. Notifying the healthcare provider about unusual
bruising is essential, as it may indicate potential bleeding complications associated with anticoagulant therapy.
C) Incorrect. Taking aspirin while on anticoagulant therapy can increase the risk of bleeding and is not recommended without medical guidance.
D) Correct. Carrying a medical alert card indicating anticoagulant use is crucial to inform healthcare providers about the client's medication regimen in case of emergency.
Questions
Correct Answer is C
Explanation
A) Incorrect. While pain management is essential, it is not the priority when dealing with active bleeding that requires immediate intervention.
B) Incorrect. Positioning the client comfortably is important, but it is not the priority when there is active bleeding.
C) Correct. The priority intervention is to apply direct pressure to the bleeding site to control and reduce bleeding until further assessment and medical assistance can be obtained.
D) Incorrect. Obtaining a detailed health history is valuable for understanding the client's overall health, but it is not the priority when the client is actively bleeding and requires immediate intervention.
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