A nurse is providing teaching to a client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching?
"I will use an enema to manage my constipation."
"I will remove my shoes when I'm inside my house."
"I will wipe my nose instead of blowing it."
"I will floss between my teeth every time I brush."
The Correct Answer is C
A) "I will use an enema to manage my constipation.": This statement is concerning because enemas can cause trauma to the rectal mucosa, which may lead to bleeding in a client with thrombocytopenia. Therefore, this action is not advisable and indicates a lack of understanding of safe practices.
B) "I will remove my shoes when I'm inside my house.": While removing shoes can help maintain cleanliness, it does not directly relate to managing thrombocytopenia or preventing bleeding. This statement does not reflect an understanding of the specific precautions needed for a client with low platelet counts.
C) "I will wipe my nose instead of blowing it.": This statement demonstrates an understanding of the need to minimize trauma to the nasal passages. Blowing the nose can increase the risk of bleeding in individuals with thrombocytopenia, so wiping is a safer alternative.
D) "I will floss between my teeth every time I brush.": Flossing can be harmful for a person with thrombocytopenia, as it may cause gum bleeding. Clients are often advised to avoid flossing to reduce the risk of bleeding, indicating that this statement reflects a misunderstanding of appropriate oral care practices for their condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Edema: While edema can occur in some patients, it is not a common or serious side effect of simvastatin. Clients should monitor for any unusual swelling, but it is not the primary concern associated with this medication.
B) Weight loss: Weight loss is not typically associated with simvastatin use. Clients should be aware of their weight but reporting weight loss alone is not usually necessary unless it is significant or accompanied by other concerning symptoms.
C) Muscle weakness: Simvastatin can lead to muscle-related side effects, including myopathy and rhabdomyolysis, which can present as muscle weakness. It is critical for clients to monitor for any unexplained muscle pain, tenderness, or weakness and report these symptoms to the provider, as early intervention can prevent serious complications.
D) Fever: Fever is not a typical side effect of simvastatin. While clients should report any signs of infection or unusual symptoms, fever alone is not specifically linked to the use of this medication and does not warrant immediate concern related to simvastatin therapy.
Correct Answer is B
Explanation
A. Direct anyone who becomes angry to leave the room: This approach can escalate tensions and does not promote open communication. It might further alienate team members rather than helping to resolve the conflict.
B. Facilitate discussion until all parties agree: This is an effective mediation strategy. By facilitating open dialogue, the nurse manager allows all parties to express their viewpoints, which can lead to understanding and resolution of the conflict.
C. Establish demands from each party that allow for negotiations: While negotiating demands can be part of conflict resolution, focusing solely on demands might not address underlying issues or foster collaboration among team members.
D. Determine who is at fault in the situation: Focusing on blame can create a hostile environment and does not contribute to a constructive resolution. It is more effective to focus on the issues at hand and how to move forward rather than assigning fault.
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