A nurse is planning care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan?

Measure abdominal girth twice weekly.

Monitor for the presence of WBCs in the urine.

Apply pressure to needlestick sites for 10 min.

Assess core temperatures using a rectal thermometer.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Measuring abdominal girth is not directly related to thrombocytopenia management.
B. Monitoring for WBCs in the urine is not related to thrombocytopenia.
C. Applying pressure to needlestick sites for 10 minutes helps prevent bleeding, which is crucial for clients with thrombocytopenia.
D. Using a rectal thermometer can increase the risk of bleeding and should be avoided in clients with thrombocytopenia.

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Correct Answer is B

Explanation

A. Monitoring urine output is not specifically related to the side effects of ethambutol.
B. Ethambutol can cause optic neuritis, so monitoring visual acuity is essential.
C. Skin color changes are not commonly associated with ethambutol therapy.
D. Cardiac rhythm monitoring is not necessary for clients on ethambutol.

A. Cyclobenzaprine will relieve any nausea associated with a fracture. B. The medication will kill microorganisms that can cause infection at the fracture site. C. The medication will relieve muscle spasms that might occur with a fracture. D. Cyclobenzaprine will reduce itching that might occur as the fracture begins to heal.

Correct Answer is C

Explanation

A. Cyclobenzaprine is not indicated for relieving nausea.
B. Cyclobenzaprine is a muscle relaxant, not an antibiotic.
C. Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms, which can occur with fractures.
D. Cyclobenzaprine does not have properties to reduce itching.

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A nurse is planning care for a client who has thrombocytopenia. Which of the following interventions should the nurse include in the plan?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is C

Explanation

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