A nurse is providing discharge education to a client with a history of bleeding disorders. Which instruction should the nurse include to promote client safety?

"Avoid using electric razors for shaving."

"Limit your fluid intake to prevent overhydration."

"Participate in high-impact exercise regularly."

"Take over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) as needed for pain."

Answer and Explanation

The Correct Answer is A

A) Correct. Electric razors are safer than traditional razors because they reduce the risk of cuts and bleeding in clients with bleeding disorders.

B) Incorrect. Adequate hydration is essential for overall health, and limiting fluid intake is not recommended for clients with bleeding disorders.

C) Incorrect. High-impact exercises can increase the risk of injury and bleeding in clients with bleeding disorders. Low-impact exercises are preferable.

D) Incorrect. Nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the risk of bleeding and should be avoided by clients with bleeding disorders.

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Correct Answer is D

Explanation

A) Incorrect. Hemoglobin levels may initially be normal or slightly decreased, but they would decrease later due to the body's compensatory response to dilute the remaining blood.

B) Incorrect. Platelet count may not be significantly affected in the early stages of hemorrhage. It is mainly responsible for clot formation, which becomes more relevant in the later stages.

C) Incorrect. In the early stages of hemorrhage, the white blood cell count is not significantly affected. It plays a role in fighting infection and inflammation.

D) Correct. Hematocrit levels represent the proportion of red blood cells in the blood. During early stages of hemorrhage, there is a loss of red blood cells, leading to decreased hematocrit levels.

A. "I take anticoagulant medication for a heart condition." B. "I have a family history of bleeding disorders." C. "I regularly engage in low-impact exercise to stay healthy." D. "I recently underwent major abdominal surgery."

Correct Answer is C

Explanation

A) Correct. Anticoagulant medication can interfere with the body's clotting mechanism, increasing the risk of bleeding.

B) Correct. A family history of bleeding disorders can be a risk factor for hemorrhage due to potential genetic predisposition.

C) Incorrect. Regular low-impact exercise is a positive lifestyle choice that helps maintain cardiovascular health and does not directly contribute to an increased risk of hemorrhage.

D) Correct. Recent major surgery can be a risk factor for hemorrhage due to potential surgical site bleeding or complications.

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A nurse is providing discharge education to a client with a history of bleeding disorders. Which instruction should the nurse include to promote client safety?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has experienced a significant blood loss due to trauma. Which laboratory result should a nurse expect in the early stages of hemorrhage?

Correct Answer is D

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Correct Answer is C

Explanation

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