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
Explanation
Choice A rationale:
A low level of hepcidin would not cause a decrease in hemoglobin levels. Hepcidin regulates iron homeostasis by inhibiting the absorption of iron from the intestines and promoting its storage in cells.
Choice B rationale:
An increase in iron-binding capacity typically occurs in conditions like iron deficiency anemia, where the body tries to increase its capacity to transport iron. This would not cause a low hemoglobin level in an otherwise healthy individual.
Choice C rationale:
Aging often leads to a decrease in the efficiency of nutrient absorption, including iron. This decrease in intestinal absorption of iron can result in low hemoglobin levels in elderly individuals. It's a common cause of anemia in the elderly population.
Choice D rationale:
Erythropoietin is a hormone produced by the kidneys that stimulates the production of red blood cells. A decrease in erythropoietin secretion from the kidneys would lead to anemia, but it is not a typical effect of aging and is usually associated with kidney disease.
Correct Answer is B
Explanation
Choice A rationale:
Hemophilia is a hereditary disorder caused by a deficiency of specific clotting factors, and it is indeed hereditary in nature. This statement is incorrect.
Choice B rationale:
Hemophilia is a bleeding disorder where the blood does not clot properly. Replacement therapy, which involves infusing clotting factor concentrates, is a standard treatment for hemophilia. This statement is correct.
Choice C rationale:
Hemophilia is an X-linked recessive genetic disorder, not dominant. Males are more commonly affected because they have only one X chromosome, and if it carries the defective gene, they will have hemophilia. Females have two X chromosomes, and if one X chromosome carries the defective gene, the other X chromosome can compensate, making them carriers but not typically affected.
Choice D rationale:
Hemophilia A is the most common form of hemophilia, not hemophilia B.
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