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) "Practice pelvic-floor exercises regularly.": This instruction is essential for bladder retraining. Pelvic-floor exercises, such as Kegel exercises, strengthen the muscles that support the bladder and can help improve control over incontinence.
B) "Wear a pair of disposable briefs at bedtime.": While using disposable briefs can provide comfort and protection, this approach does not contribute to bladder retraining. It may inadvertently allow the client to rely on them instead of focusing on improving bladder control.
C) "Limit oral fluid intake to 1,000 milliliters per day.": Limiting fluid intake is generally not recommended, as it can lead to concentrated urine and potential bladder irritation. Adequate hydration is important for overall health and can help maintain normal bladder function.
D) "Drink 8 ounces of citrus juice per day.": Citrus juices can irritate the bladder in some individuals, leading to increased urgency and frequency. It’s usually advisable to avoid such irritants during bladder retraining, making this instruction less appropriate.
Correct Answer is B
Explanation
A) Limit intake of nuts and legumes: This is incorrect. Nuts and legumes are essential components of a vegan diet, providing important protein, healthy fats, and other nutrients. They should not be limited.
B) Choose foods high in vitamin B12: This is the correct answer. Vitamin B12 is primarily found in animal products, so vegans must seek fortified foods (such as plant-based milks and cereals) or consider supplements to meet their B12 needs, as deficiency can lead to serious health issues.
C) Choose high-fat cheese as a meat substitute: This is misleading. Vegans do not consume cheese, as it is an animal product. Instead, they should look for plant-based alternatives to meet their dietary needs.
D) Limit intake of foods high in vitamin C: This is incorrect. Foods high in vitamin C, such as fruits and vegetables, are encouraged in a vegan diet for overall health and to support the immune system. There is no reason to limit these foods.
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