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

Answer and Explanation

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","C"]

Explanation

Choice A reason: Performing assisted coughing is crucial for patients with spinal cord injuries who may have weakened respiratory muscles. Assisted coughing helps clear secretions from the airways, thus improving oxygenation and preventing respiratory complications like pneumonia.

Choice B reason: Administering steroids is not a primary intervention for addressing hypoxia in patients with spinal cord injuries. Steroids can be used to reduce inflammation, but they do not directly improve respiratory status or oxygenation.

Choice C reason: Administering oxygen is a direct and effective intervention for managing hypoxia. Supplemental oxygen helps ensure that the patient maintains adequate blood oxygen levels, which is critical for overall tissue perfusion and function.

Choice D reason: Administering antibiotics is not immediately relevant to the treatment of hypoxia unless there is an underlying infection causing or contributing to respiratory distress. Antibiotics are used to treat infections, not directly to improve respiratory status in cases of hypoxia.

A. Keep the radiation area clean with mild soap and water B. Avoid exposing the radiation site to extreme temperatures C. Wear tight clothing to protect the skin D. Apply pleasant fragrant lotions to the radiation area

Correct Answer is ["A","B"]

Explanation

Choice A reason: Keeping the radiation area clean with mild soap and water helps maintain hygiene and prevent infection. It is important to use gentle, non-irritating cleansers to avoid aggravating the skin that is already sensitive due to radiation.

Choice B reason: Avoiding exposure of the radiation site to extreme temperatures is crucial. Heat can increase irritation, and cold can cause additional discomfort. Protecting the area from extreme temperatures helps in reducing skin reactions and promoting healing.

Choice C reason: Wearing tight clothing is not recommended for patients undergoing radiation therapy. Tight clothing can cause friction and irritation on the already sensitive radiation site, potentially worsening skin reactions.

Choice D reason: Applying fragrant lotions to the radiation area is not advised. Fragrances and certain chemicals in lotions can irritate the skin and lead to adverse reactions. It is better to use unscented, gentle moisturizers if needed.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The arterial blood gas (ABG) report of a patient with a spinal cord injury indicates hypoxia. Select two interventions the nurse would perform to improve the patient's respiratory status.

Correct Answer is ["A","C"]

Explanation

Correct Answer is ["A","B"]

Explanation

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