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 D
Explanation
A. Lining waste containers with single bags is a proper infection control measure.
B. Using dampened cloths for dusting can help prevent the spread of airborne particles.
C. Using a puncture-resistant container for sharps is an appropriate action to prevent needlestick injuries.
D. Correct. Placing soiled linens on the floor can lead to contamination of the environment and potential transmission of infection.
Correct Answer is D
Explanation
A. Incorrect. Laying down immediately after a meal can worsen GERD symptoms. Remaining upright for at least 23 hours after eating is recommended.
B. Incorrect. Eating large meals can exacerbate GERD symptoms. Smaller, more frequent meals are advised.
C. Incorrect. While coffee can trigger GERD symptoms in some, specifying a particular number of cups may not be appropriate. Avoiding triggers and monitoring symptoms is the general advice.
D. Correct. Elevating the head of the bed while sleeping helps prevent stomach acid from flowing back into the esophagus, reducing nighttime GERD symptoms.
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