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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Correct. A health care surrogate (also known as a health care proxy or agent. is designated by the individual to make medical decisions on their behalf if they are unable to do so. This individual should be someone the client trusts and is aware of the client's preferences.
B. Incorrect. A living will can be changed or updated by the individual at any time if their preferences change. It is important for the client to review and revise their living will as needed.
C. Incorrect. While legal assistance may be helpful, designating a healthcare surrogate does not necessarily require an attorney.
D. Incorrect. The choice of a healthcare surrogate is a personal decision, and the individual can choose any trusted person to fulfill this role, not just a family member.

A. Chemotherapy treatments B. Medications for a cardiac anomaly C. Two diarrhea stools in the last day D. Clear rhinorrhea

Correct Answer is A

Explanation

Chemotherapy treatments. Varicella immunization is a live vaccine that can cause mild infection in some people. Chemotherapy treatments can weaken the immune system and make it harder to fight off infections. Therefore, people who are receiving chemotherapy should not get live vaccines. The other options are not contraindications for varicella immunization.

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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.

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