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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","B"]
Explanation
Choice A rationale:
Anemia is not a direct manifestation of target organ damage from hypertension.
Choice B rationale:
Aneurysm is a correct answer. Persistent high blood pressure can weaken the walls of arteries, making them more susceptible to forming an aneurysm. Aneurysms can occur in various arteries, such as the aorta, and can lead to life-threatening complications if they rupture.
Choice C rationale:
Proteinuria is also a correct answer. Hypertension can damage the kidneys, leading to proteinuria, the presence of excess proteins in the urine. This is an indication of kidney damage and is a common manifestation of hypertensive target organ disease.
Choice D rationale:
Pneumonia and Transient Ischemic Attack (TIA) are not direct manifestations of target organ damage from hypertension.
Correct Answer is B
Explanation
The correct answer is B. Hypertonic saltwater.
Choice A rationale: Hypotonic saltwater would not cause significant fluid shifts into the alveoli. Instead, it would cause cells to swell due to the lower concentration of solutes outside the cells.
Choice B rationale: Hypertonic saltwater causes fluid to be drawn from the vascular space into the alveoli due to the higher concentration of solutes in the water compared to the body's cells. This can impair alveolar ventilation and result in hypoxia.
Choice C rationale: Hypotonic freshwater would cause cells to swell and potentially burst due to the lower concentration of solutes outside the cells, but it would not specifically cause fluid to be drawn into the alveoli.
Choice D rationale: Hypertonic freshwater is not a common classification for drowning water. Freshwater is typically hypotonic compared to body fluids, and it would not cause the same fluid shift as hypertonic saltwater.
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