A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply.)

Blow nose gently.

Lubricate lips with water-soluble ointment.

Use a straightedge razor to shave.

Brush teeth with a soft toothbrush.

Limit fruit consumption.

Answer and Explanation

Correct Answer : A,B,D

Choice A reason: Blowing the nose gently is advised to prevent nosebleeds, which can be a risk due to thrombocytopenia.

Choice B reason: Lubricating lips with water-soluble ointment can prevent cracking and bleeding, which is important for a patient with thrombocytopenia.

Choice C reason: Using a straightedge razor is not recommended because it can increase the risk of cuts and bleeding. An electric razor would be safer.

Choice D reason: Brushing teeth with a soft toothbrush is recommended to prevent gum bleeding due to the low platelet count associated with thrombocytopenia.

Choice E reason: Limiting fruit consumption is not necessary for thrombocytopenia unless the patient has a specific condition that requires dietary restrictions.

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Correct Answer is D

Explanation

Choice A reason: Stridor is a high-pitched sound heard with breathing and is not related to the pattern described.

Choice B reason: Kussmaul respirations are deep and labored, typically associated with metabolic acidosis, not the pattern described.

Choice C reason: Apneustic respirations are characterized by prolonged inspiratory phases, which is not the pattern described.

Choice D reason: This is the correct choice. Cheyne Stokes respirations are characterized by a cyclic pattern of increasing and decreasing tidal volumes followed by periods of apnea, fitting the description provided.

A. Assess the cranial nerves. B. Decrease environmental stimuli. C. Close the room. D. Administer an antipyretic.

Correct Answer is B

Explanation

Choice A reason: Assessing the cranial nerves is important, but it is not the immediate next step after implementing droplet precautions for suspected bacterial meningitis.

Choice B reason: Decreasing environmental stimuli can help reduce the risk of seizures and is a supportive measure for a patient with suspected bacterial meningitis.

Choice C reason: Closing the room is part of implementing droplet precautions but is not an action that needs to be initiated by the nurse as it should already be in place.

Choice D reason: Administering an antipyretic may be necessary if the patient has a fever, but it is not the immediate next action after droplet precautions.

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A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Explanation

Correct Answer is B

Explanation

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