A nurse is collecting data from a client who has thrombocytopenia. The nurse should identify which of the following findings increases the client's risk for injury.
Wears a face mask around others
Sleeps 8 to 10 hr per night
Uses a firm bristled toothbrush
Increased intake of green, leafy vegetables
The Correct Answer is C
A. Incorrect. Wearing a face mask around others is not directly related to thrombocytopenia and does not impact the risk of injury in this context.
B. Incorrect. Sleep duration is not directly related to thrombocytopenia and does not impact the risk of injury in this context.
C. Correct. Using a firm-bristled toothbrush can increase the risk of bleeding in a client with thrombocytopenia due to potential gum injury. Soft-bristled toothbrushes are recommended to minimize the risk of injury and bleeding.
D. Incorrect. Increased intake of green, leafy vegetables is generally beneficial for health and does not increase the risk of injury in thrombocytopenia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"E"}
Explanation
Given the client's symptoms (productive cough, blood-tinged sputum, fatigue, night sweats, low-grade fever, weight loss, and recent travel to South Africa), there is a suspicion of tuberculosis (TB). The Mantoux test (a skin test for TB) and a chest X-ray are appropriate diagnostic tools to evaluate for TB.
A. a nasopharyngeal swab: This test is used to detect respiratory infections, but the client's symptoms and history do not specifically indicate the need for this test.
B. A pulmonary function test: While this test assesses lung function, it may not be the initial choice for evaluating the presented symptoms and history.
C. A chest x-ray
Rationale: Given the client's symptoms of cough, fatigue, night sweats, low-grade fever, and blood-tinged sputum, a chest x-ray is indicated to assess the condition of the lungs and potential underlying respiratory issues.
D. blood cultures
Rationale: The client's symptoms, including fever, could indicate an underlying infection. Blood cultures are used to identify potential bacterial or fungal infections in the bloodstream, but this is not likely for this patient
E. a Mantoux test
Rationale: The client's recent travel history, cough, and weight loss may prompt consideration of a tuberculosis (TB) infection. A Mantoux test is a common initial screening tool for TB exposure.
Correct Answer is D
Explanation
A. Incorrect. Tingling of the scalp is not a common adverse reaction following electroconvulsive therapy (ECT.
B. Incorrect. Voice alteration is not a common adverse reaction following ECT.
C. Incorrect. Neck pain is not a common adverse reaction following ECT.
D. Correct. Temporary memory loss is a common adverse reaction following ECT. Some clients may experience confusion and memory deficits immediately after the procedure, but these effects are typically temporary and resolve as the client recovers from the treatment.
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