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.

Answer and Explanation

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.

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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.

A. Hypertension B. Bradycardia C. Tachypnea D. Hyperthermia

Correct Answer is C

Explanation

A. Hypertension is not an early sign of hemorrhage; instead, hypotension occurs as blood loss progresses.
B. Bradycardia is not an expected response; tachycardia is more common due to compensatory mechanisms.
C. Tachypnea is an early indicator of internal bleeding as the body attempts to compensate for decreased oxygen delivery by increasing respiratory rate.
D. Hyperthermia is not associated with hemorrhage; instead, hypothermia can occur with significant blood loss.

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A nurse is caring for a client who is at risk of hemorrhage. What action should the nurse take to prevent bleeding episodes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing active bleeding. What is the nurse's priority intervention?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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