A nurse is caring for a patient diagnosed with thrombocytopenia. Which of the following interventions should the nurse prioritize to ensure the safety of the patient?
Encourage the patient to engage in strenuous exercise to improve circulation
Instruct the patient to use an electric razor for shaving
Teach the patient to use a water pick for oral hygiene
Request an order for subcutaneous heparin to prevent blood clots
The Correct Answer is B
Choice A reason: Encouraging the patient to engage in strenuous exercise to improve circulation is not appropriate for someone with thrombocytopenia. Strenuous exercise can increase the risk of injury and bleeding, which is particularly dangerous for patients with a low platelet count.
Choice B reason: Instructing the patient to use an electric razor for shaving is the most appropriate intervention. Thrombocytopenia increases the risk of bleeding, and using an electric razor instead of a traditional blade helps minimize the risk of cuts and subsequent bleeding.
Choice C reason: Teaching the patient to use a water pick for oral hygiene is not recommended for thrombocytopenia patients. Water picks can cause bleeding of the gums, which is a concern for individuals with low platelet counts. Using a soft-bristled toothbrush is safer.
Choice D reason: Requesting an order for subcutaneous heparin to prevent blood clots is not advisable for a thrombocytopenia patient without specific medical indication. Heparin is an anticoagulant, and administering it to someone with low platelets can exacerbate the risk of bleeding.
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Correct Answer is A
Explanation
Reason: Blood sugar monitoring is a necessary intervention for patients with pancreatitis because the pancreas plays a critical role in regulating blood sugar levels through the production of insulin and glucagon. Inflammation or damage to the pancreas can lead to impaired insulin secretion and glucose metabolism, potentially causing hyperglycemia (high blood sugar levels). Therefore, monitoring blood sugar is essential to manage and prevent complications associated with pancreatitis.
Correct Answer is A
Explanation
Choice A reason: Preventing DVT and VTE is a critical component of patient care in hospitals. These conditions can lead to serious complications such as pulmonary embolism, which can be life-threatening. Therefore, hospitals implement various measures, including the use of anticoagulants, compression devices, and early mobilization, to reduce the risk of DVT and VTE in hospitalized patients.
Choice B reason: The statement that DVT and VTE prevention is not a core measure for hospitalized patients is incorrect. Ensuring that patients are protected against these potential complications is a fundamental aspect of inpatient care to promote patient safety and improve outcomes.
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