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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Correct Answer is D

Explanation

A) Acetaminophen: While acetaminophen can be effective for mild to moderate pain relief, it may not be the most appropriate choice for abdominal pain associated with cholelithiasis. Opioids or nonsteroidal anti-inflammatory drugs (NSAIDs) like ketorolac are typically more effective for this type of pain.

B) Omeprazole: This medication is a proton pump inhibitor used primarily for reducing gastric acid secretion and is not indicated for pain management. It does not address the pain caused by cholelithiasis.

C) Metoclopramide: This medication is an antiemetic and prokinetic agent that may help with nausea and vomiting, but it does not directly alleviate pain. It would not be the first choice for pain management in this situation.

D) Ketorolac: This NSAID is effective for managing moderate to severe pain and is suitable for the type of pain associated with cholelithiasis. It has anti-inflammatory properties that can provide significant relief, making it the best option for the client's current symptoms.

A. Don sterile gloves prior to the procedure. B. Apply EMLA cream prior to the procedure. C. Obtain a 12-French catheter. D. Discard the first 10 mL of urine.

Correct Answer is A

Explanation

A) Donning sterile gloves prior to the procedure is essential to maintain a sterile field and prevent contamination during catheterization. This practice is critical for ensuring the accuracy of the urine culture by avoiding the introduction of bacteria from the environment.

B) While EMLA cream can be used to numb the area and minimize discomfort, it is not a required step for catheterization in toddlers and may not always be available or necessary. The primary focus should be on maintaining sterility during the procedure.

C) A 12-French catheter may be too large for a toddler, who typically requires a smaller catheter size (usually 8-10 French) to minimize trauma and discomfort. Using the appropriate size is crucial for ensuring a successful procedure.

D) Discarding the first 10 mL of urine is not standard practice for urine cultures obtained via catheterization, as the first portion of urine collected is typically the cleanest and most reflective of the bladder contents. For accurate culture results, the initial sample should be collected and sent for testing.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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