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 A
Explanation
A. "Offer to take pictures of the newborn for the client.": This is a compassionate and supportive action. Offering to take pictures can help the parents create memories and can be an important part of the grieving process, allowing them to acknowledge their loss.
B. "Assure the client that she can have additional children.": While this may be intended to provide comfort, it can minimize the current loss and may not be what the client needs to hear in the moment. It’s important to validate their feelings of grief first.
C. "Avoid talking to the client about the newborn.": Avoiding the topic can make the client feel isolated in their grief. Open discussions about the newborn can help the parents process their emotions and acknowledge their loss.
D. "Discourage the client from allowing friends to see the newborn.": This is not supportive. Allowing friends and family to see the newborn can provide comfort and support to the grieving parents, and should not be discouraged unless there are specific concerns about health or safety.
Correct Answer is B
Explanation
A) Take magnesium hydroxide for indigestion: This is not advisable for a client with chronic kidney disease (CKD) because magnesium can accumulate and lead to toxicity in individuals with impaired kidney function. Therefore, the nurse should recommend avoiding magnesium-based antacids.
B) Eat 1 g/kg of protein per day: This statement is correct. Clients on hemodialysis often require a higher protein intake to compensate for protein losses during dialysis. However, protein intake should be carefully monitored and tailored to individual needs and dialysis status.
C) Consume foods high in potassium: This instruction is inappropriate for a client with CKD. Elevated potassium levels (hyperkalemia) can be dangerous for these clients, so they should limit high-potassium foods to prevent complications.
D) Drink at least 3 L of fluid daily: This recommendation is not suitable for clients on hemodialysis, as fluid intake is typically restricted to prevent fluid overload. Fluid needs should be assessed based on the individual's condition and urine output, but generally, they should not drink excessive amounts.
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