The nurse provides education to a patient with thrombocytopenia about precautions to be taken at home.
The nurse identifies that further teaching is needed when the patient performs which action?

Drinks 14 glasses of water daily.

Shaves once a day using an electric razor.

Uses an alcohol-based mouthwash twice a day.

Brushes teeth with a soft-bristle toothbrush twice a day.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Uses an alcohol-based mouthwash twice a day.

Choice A rationale:

Drinking 14 glasses of water daily is generally beneficial as it helps maintain hydration and supports overall health. However, it is important to balance fluid intake to avoid overhydration.

Choice B rationale:

Shaving with an electric razor is recommended for patients with thrombocytopenia because it reduces the risk of cuts and bleeding compared to using a traditional razor.

Choice C rationale:

Using an alcohol-based mouthwash can cause dryness and irritation of the oral mucosa, which can lead to bleeding, especially in patients with thrombocytopenia. It is better to use a non-alcoholic mouthwash.

Choice D rationale:

Brushing teeth with a soft-bristle toothbrush is advised to minimize the risk of gum bleeding and maintain oral hygiene.

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Correct Answer is C

Explanation

Choice A rationale:

While pregnancy can contribute to increased blood pressure, it is not the priority question in this scenario. The sudden rise in blood pressure could indicate a hypertensive crisis, which needs immediate attention.

Choice B rationale:

Urination is not directly related to sudden rises in blood pressure. While urinary issues could be a sign of certain conditions, they are not the priority when dealing with a hypertensive emergency.

Choice C rationale:

A sudden rise in blood pressure can lead to symptoms such as headache and confusion, which could indicate a hypertensive crisis. This question is crucial to assess neurological symptoms, which can be indicative of target organ damage due to hypertension.

Choice D rationale:

Antiseizure medications are not directly related to sudden increases in blood pressure. Neurological symptoms (like those in choice C) are more indicative of a hypertensive crisis and require immediate attention.

A. Increased cobalamin levels. B. Decreased histamine levels. C. Increased hemoglobin levels. D. Increased red blood cell levels.

Correct Answer is ["C","D"]

Explanation

Choice A rationale:
Increased cobalamin levels are not indicative of polycythemia vera. Polycythemia vera is characterized by an increase in the total red blood cell mass. Elevated cobalamin levels are not specific to this condition.
Choice B rationale:
Decreased histamine levels are not a diagnostic marker for polycythemia vera. Histamine levels are not typically associated with this disorder.
Choice C rationale:
Increased hemoglobin levels are a significant finding in polycythemia vera. Polycythemia vera is a disorder characterized by an abnormal increase in the number of red blood cells, leading to elevated hemoglobin levels.
Choice D rationale:
Increased red blood cell levels are a hallmark feature of polycythemia vera. The increased production of red blood cells leads to elevated red blood cell levels, which is a key diagnostic indicator for this condition.

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The nurse provides education to a patient with thrombocytopenia about precautions to be taken at home. The nurse identifies that further teaching is needed when the patient performs which action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female patient with chronic hypertension is admitted to the emergency department with a sudden rise in blood pressure (BP) Which question is the priority for the nurse to ask the patient?

Correct Answer is C

Explanation

The nurse suspects that a patient has polycythemia vera based on which finding in the patient's laboratory reports? Select all that apply. One, some, or all responses may be correct.

Correct Answer is ["C","D"]

Explanation

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The nurse provides education regarding daily activities to a patient with thrombocytopenia.Which activity identified by the patient indicates understanding of the teaching?

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The nurse provides education to a patient with thrombocytopenia about precautions to be taken at home.
The nurse identifies that further teaching is needed when the patient performs which action?