A nurse is providing education to a client with a bleeding disorder about home safety measures. What should the nurse include in the client's teaching?

"Avoid participating in contact sports."

"Keep the home environment cold to prevent vasodilation."

"Use electric razors for shaving to prevent cuts."

"Take aspirin daily to reduce the risk of clot formation."

Answer and Explanation

The Correct Answer is C

A) Incorrect. Avoiding contact sports is a relevant safety measure for some individuals with bleeding disorders, but it is not the priority in preventing cuts and bleeding at home.

B) Incorrect. While keeping the home environment cool may be helpful for some individuals with certain bleeding disorders, it is not the primary safety measure.

C) Correct. Using electric razors for shaving can prevent cuts and reduce the risk of bleeding in clients with bleeding disorders.

D) Incorrect. Taking aspirin daily is not recommended for clients with bleeding disorders as it can increase the risk of bleeding due to its antiplatelet effects.

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Correct Answer is B

Explanation

A) Incorrect. Applying a warm compress may promote vasodilation and increase bleeding in the joint. It is not recommended for managing joint bleeding in a client with hemophilia.

B) Correct. The priority intervention for managing joint bleeding in a client with hemophilia is to administer prescribed clotting factor replacement therapy to promote clot formation and stop the bleeding.

C) Incorrect. Elevating the affected joint can help reduce swelling, but it is not the priority intervention when the client is experiencing an acute joint bleed.

D) Incorrect. Encouraging active range of motion exercises can worsen joint bleeding and is contraindicated in a client with acute joint bleeding due to hemophilia.

Questions

A. Complete blood count (CBC) B. Serum electrolytes C. Prothrombin time (PT) D. Blood glucose level

Correct Answer is C

Explanation

A) Incorrect. A complete blood count (CBC) provides information about the client's red blood cells, white blood cells, and platelets, but it does not directly assess clotting function.

B) Incorrect. Serum electrolytes help assess the body's fluid balance and various organ functions, but they do not specifically indicate clotting function.

C) Correct. Prothrombin time (PT) is a measure of the time it takes for the blood to clot, primarily assessing the function of the extrinsic pathway of coagulation. It is an essential test in evaluating clotting disorders.

D) Incorrect. Blood glucose level is not directly related to clotting function and is more indicative of a client's metabolic status.

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A nurse is providing education to a client with a bleeding disorder about home safety measures. What should the nurse include in the client's teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with hemophilia is admitted to the hospital with an acute joint bleed. What is the nurse's priority intervention for managing joint bleeding in this client?

Correct Answer is B

Explanation

A client with a history of bleeding disorders presents to the emergency department with excessive bleeding from a minor cut. Which laboratory test should the nurse monitor to assess the client's clotting function?

Correct Answer is C

Explanation

A nurse is caring for a client at risk of hemorrhage. What is the nurse's priority action to prevent bleeding complications?

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A nurse is caring for a client with suspected hemorrhage. The nurse should anticipate which diagnostic test as a priority to identify the cause and source of bleeding?

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