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."

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Provide the client with large-handled eating utensils: This intervention is beneficial for clients with multiple sclerosis, as it can help improve their grip and ease the process of eating. This is particularly important for clients who may experience weakness or coordination issues.

B. Touch the client's arm before beginning to speak: While this may be a considerate gesture for individuals with hearing impairments, it is not specifically targeted to address barriers faced by clients with multiple sclerosis, who may have visual or cognitive challenges.

C. Establish alternatives to verbal conversation: While offering alternative communication methods can be helpful, the primary barriers for many clients with multiple sclerosis often relate to physical function rather than communication alone.

D. Use the numbers on a clock to describe the position of food on the client's plate: This technique can be useful for clients with visual impairments, but it does not directly address the motor and coordination challenges often faced by clients with multiple sclerosis in daily tasks like eating.

A. Review the skill level and qualifications of each AP. B. Communicate appropriate tasks to the APs with specific expectations. C. Monitor progress of task completion with each AP. D. Evaluate the APs' performance of each task.

Correct Answer is A,B,C,D

Explanation

To delegate tasks to assistive personnel (APs) effectively, the nurse should follow this sequence:

A. Review the skill level and qualifications of each AP.
B. Communicate appropriate tasks to the APs with specific expectations.
C. Monitor progress of task completion with each AP.
D. Evaluate the APs' performance of each task.

This order ensures that the nurse first assesses the abilities of the APs, then clearly communicates tasks, monitors their progress, and finally evaluates their performance.

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A nurse is providing teaching to a client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has multiple sclerosis. The nurse should recommend including which of the following interventions in the plan of care to assist the client in overcoming barriers related to this condition?

Correct Answer is A

Explanation

A nurse has identified tasks to delegate to a group of assistive personnel (AP) after receiving change-of-shift report. Identify the sequence of steps the nurse should follow when delegating tasks to the APs. (Move the steps, placing them in the selected order of performance. Use all the steps.)

Correct Answer is A,B,C,D

Explanation

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