Which assessment finding indicates that the patient is not a candidate for acupuncture therapy?

The patient follows a lactose-free diet.

The patient has a history of thrombocytopenia.

The patient has several herniated lumbar disks.

The patient is allergic to latex and strawberries.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A lactose-free diet does not contraindicate acupuncture therapy. Lactose intolerance is a digestive condition that does not affect blood clotting or the ability to receive acupuncture safely.

Acupuncture needles are very fine and do not typically cause bleeding. Even if minor bleeding occurs, it is not a concern for individuals without bleeding disorders.

Therefore, a lactose-free diet does not pose a risk for acupuncture.

Choice B rationale:

Thrombocytopenia is a condition characterized by a low platelet count. Platelets are essential for blood clotting. Acupuncture involves the insertion of needles into the skin. This can cause minor bleeding, even when performed correctly.

In individuals with thrombocytopenia, even minor bleeding can be difficult to control and may lead to excessive bruising or hematoma formation.

Therefore, thrombocytopenia is a contraindication to acupuncture therapy due to the increased risk of bleeding complications.

Choice C rationale:

Herniated lumbar disks are a common condition that can cause back pain. Acupuncture is often used to treat back pain, including pain caused by herniated disks.

Studies have shown that acupuncture can be effective in reducing pain and improving function in patients with herniated disks.

Therefore, the presence of herniated lumbar disks does not contraindicate acupuncture therapy.

Choice D rationale:

Latex and strawberry allergies are not contraindications to acupuncture therapy. Acupuncture needles are typically made of stainless steel, which does not contain latex.

Additionally, acupuncture does not involve the use of strawberries or any other substances that are common allergens. Therefore, latex and strawberry allergies do not pose a risk for acupuncture.

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Correct Answer is B

Explanation

Choice A rationale:

Secondary erythema refers to redness that develops after the initial injury or insult. It's not the most accurate term to describe an area that doesn't blanch, as blanching specifically assesses for the presence of blood in the tissue. Secondary erythema can be blanchable or nonblanchable, depending on the underlying cause.

Choice C rationale:

Blanchable hyperemia is a reddening of the skin that blanches (turns lighter) when pressed. This indicates that blood is still flowing to the area and that the tissue is not damaged. It's not the correct term for an area that doesn't blanch.

Choice D rationale:

Reactive hyperemia is a temporary increase in blood flow to an area that has been deprived of blood flow. It's often seen after pressure is relieved from a body part. While reactive hyperemia can cause redness, this redness typically blanches when pressed.

Choice B rationale:

Nonblanchable erythema is the most accurate term to describe an area of redness that does not turn lighter in color when pressed with a finger. This indicates that blood is not flowing to the area and that the tissue is likely damaged. Nonblanchable erythema is a significant finding because it can be a sign of a pressure injury (also known as a bedsore or pressure ulcer).

Key points about nonblanchable erythema:

It's a sign of impaired blood flow to the tissue. It's a potential indicator of a pressure injury.

It requires prompt assessment and intervention to prevent further tissue damage.

A. The patient’s temperature will remain within normal limits. B. The patient’s surgical incision will remain intact with sutures. C. The patient will verbalize measures to reduce fluid volume loss. D. The patient’s urine output will be at least 30 mL/hour.

Correct Answer is D

Explanation

Rationale for Choice A:

While maintaining normal body temperature is important for overall health, it's not the most immediate priority in a patient with fluid volume deficit due to ongoing bleeding. Fluid volume status takes precedence over temperature regulation in this context.

Hypovolemia can lead to hypothermia, but addressing the fluid deficit directly will also help stabilize temperature.

Focusing solely on temperature could delay crucial interventions to address the fluid loss and potentially worsen the patient's condition.

Rationale for Choice B:

An intact surgical incision is essential for proper wound healing and prevention of infection. However, in the context of active bleeding, it's not the priority outcome.

Maintaining adequate fluid volume is crucial to ensure perfusion of tissues, delivery of oxygen and nutrients, and proper organ function—all of which take precedence over incision integrity in this acute situation.

Addressing the fluid deficit will indirectly support wound healing by promoting tissue perfusion and reducing the risk of complications.

Rationale for Choice C:

Patient education is important, but it's not the most immediate priority in a patient with active bleeding and fluid volume deficit.

The patient's ability to comprehend and implement measures to reduce fluid loss may be compromised due to the hypovolemic state and potential cognitive effects.

Focusing on patient education at this stage could delay essential interventions to address the fluid loss and potentially worsen the patient's condition.

Rationale for Choice D:

Urine output is a sensitive and reliable indicator of renal perfusion and overall fluid status. In a patient with fluid volume deficit, maintaining a urine output of at least 30 mL/hour is a key indicator that the kidneys are receiving adequate blood flow and that fluid volume is being restored.

This outcome directly addresses the fluid deficit and serves as a measurable goal for fluid replacement therapy.

It takes priority over other choices because it directly reflects the patient's fluid status and the effectiveness of interventions to address the bleeding and fluid loss.

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Which assessment finding indicates that the patient is not a candidate for acupuncture therapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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