What is the priority nursing diagnosis for a client with inadequate production of platelets?

Risk for Injury related to increased bleeding tendency

Risk for Infection related to decreased antibody production

Decreased Cardiac Output related to hypovolemia

Impaired Gas Exchange related to decreased oxygen-carrying capacity

Answer and Explanation

The Correct Answer is A

A.   Inadequate production of platelets results in an increased risk of bleeding, making the client vulnerable to injury. Therefore, the priority nursing diagnosis is "Risk for Injury related to increased bleeding tendency."
B.   Decreased antibody production is not directly related to inadequate platelet production.
C.   While decreased platelet production may contribute to hypovolemia in some cases, the primary concern is the risk of bleeding rather than decreased cardiac output.
D.   Impaired gas exchange is not directly related to inadequate platelet production.

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Correct Answer is D

Explanation

A. Clay: Individuals with pica due to iron-deficiency anemia may crave and consume substances like clay.
B. Soil: Soil consumption is another manifestation of pica commonly seen in individuals with iron-deficiency anemia.
C. Ice: Some individuals with iron-deficiency anemia may crave and chew ice as a form of pica behavior.
D. Any of the responses: Pica is a condition where individuals have cravings for nonfood substances. In iron-deficiency anemia, pica can manifest as cravings for various nonfood items, including clay, soil, ice, and many others.

A. "Once I am able to resume sexual activity, I can use a water-based lubricant if I experience discomfort." B. "I will no longer have menstrual periods." C. "I will take a tub bath instead of a shower." D. "I should increase my intake of protein and vitamin C."

Correct Answer is C

Explanation

A. Using a water-based lubricant during sexual activity can help reduce discomfort or vaginal dryness, which may occur after a hysterectomy.
B. After a total abdominal hysterectomy, menstrual periods will cease because the uterus, and often the ovaries, are removed during the procedure.
C. Taking a tub bath instead of a shower is not recommended after a total abdominal
hysterectomy and vaginal repair. Bathing in a tub can increase the risk of infection, especially if the surgical incisions are still healing. The client should avoid submerging the surgical site in water until it has fully healed and cleared by their healthcare provider.
D. Increasing intake of protein and vitamin C can support wound healing and overall recovery after surgery. This statement indicates appropriate understanding of postoperative care.

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What is the priority nursing diagnosis for a client with inadequate production of platelets?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Iron-deficiency anemia can cause pica, a rare condition in which a person craves eating nonfood items. Which of these would a client with this type of anemia eat?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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