A nurse is teaching a newly licensed nurse about heparin-induced thrombocytopenia. Which of the following risk factors for this disorder should the nurse include in the teaching?
Systemic lupus erythematosus
Placental abruption
Heparin therapy for deep-vein thrombosis
Warfarin therapy for atrial fibrillation
The Correct Answer is C
A. Systemic lupus erythematosus (SLE): SLE is an autoimmune disease but is not directly linked to the pathophysiology of HIT.
B. Placental abruption: Placental abruption is a complication of pregnancy and is not a risk factor for HIT.
C. Heparin therapy for deep-vein thrombosis (DVT): Correct Answer. Heparin therapy itself, especially in the treatment of deep-vein thrombosis, is a significant risk factor for developing HIT due to the exposure to heparin.
D. Warfarin therapy for atrial fibrillation: Warfarin is not associated with the development of HIT.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Engaging in regular physical exercise: Physical exercise is generally associated with positive mental health benefits and is not a risk factor for suicide.
B. Having a positive self-esteem: Higher self-esteem is protective against suicide rather than a risk factor.
C. Having a strong social support system: Social support is protective against suicide, reducing isolation and providing emotional resources.
D. Experiencing a history of trauma or abuse. Correct Answer. Trauma or abuse history is a well-established risk factor for suicide, contributing to psychological distress, hopelessness, and increased vulnerability.
Correct Answer is B
Explanation
A. Hyperextend the client's neck: Incorrect; this can strain the surgical site. Neck should be supported in a neutral position.
B. Instruct the client to deep breathe every 4 hr: Deep breathing exercises prevent respiratory complications and promote lung expansion postoperatively. Helps prevent atelectasis and pneumonia.
C. Place the head of the client's bed in the flat position: Incorrect; semi-Fowler's position is preferred to reduce risk of airway compromise and edema.
D. Check the client's voice every 2 hr: Monitoring voice changes helps detect recurrent laryngeal nerve injury, a complication of thyroidectomy. Changes in voice quality can indicate vocal cord paralysis or injury.
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