Which of the following actions should a nurse plan for when providing care for a client diagnosed with thrombocytopenia?

Avoid needle sticks or other invasive procedures as much as possible.

Hold all stool softeners and laxatives until otherwise

Encourage vigorous tooth brushing with a soft bristle toothbrush,

Obtain a core temperature every 8 hours.

Answer and Explanation

The Correct Answer is A

A. Avoid needle sticks or other invasive procedures as much as possible: This is the most appropriate action for a client with thrombocytopenia. Since thrombocytopenia involves a low platelet count, the risk of bleeding is increased, and minimizing invasive procedures helps prevent complications.

B. Hold all stool softeners and laxatives until otherwise: This statement is not appropriate. Clients with thrombocytopenia should avoid straining during bowel movements, which can be facilitated by the use of stool softeners or laxatives if necessary.

C. Encourage vigorous tooth brushing with a soft bristle toothbrush: This is not advisable. While using a soft-bristled toothbrush is recommended, vigorous brushing could cause gum bleeding. Gentle oral hygiene practices should be emphasized instead.

D. Obtain a core temperature every 8 hours: While monitoring temperature is important, it is not specific to thrombocytopenia management. Other vital signs may be monitored more frequently, but this action does not directly address the primary concern of bleeding risk.

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Free Nursing Study Resources

Correct Answer is ["116"]

Explanation

To calculate the infusion rate, we'll follow these steps:

Determine the total volume to be administered:

8 mL (drawn from the vial) + 50 mL (dilution with NSS) = 58 mL

Calculate the infusion rate:

58 mL ÷ 30 minutes = 1.93 mL/minute

Convert mL/minute to mL/hour:

1.93 mL/minute × 60 minutes/hour = 116 mL/hour

A. has gained 2 pounds and has pink buccal mucosa. B. verbalizes eating more iron fortified cereals. C. no longer has paresthesia of the hands and feet. D. has stopped drinking any alcoholic beverages

Correct Answer is C

Explanation

A) Has gained 2 pounds and has pink buccal mucosa: While weight gain and pink mucosa are positive signs, they are not definitive indicators of effective treatment for Vitamin B12 deficiency specifically.

B) Verbalizes eating more iron-fortified cereals: This dietary change is beneficial for overall nutrition but does not directly relate to the treatment of Vitamin B12 deficiency. Iron and Vitamin B12 serve different functions in the body.

C) No longer has paresthesia of the hands and feet: The resolution of paresthesia is a strong indicator that the treatment for Vitamin B12 deficiency has been effective. Paresthesia is often associated with nerve damage due to B12 deficiency, so its absence suggests improvement.

D) Has stopped drinking any alcoholic beverages: While reducing alcohol intake can be beneficial for overall health and may help with nutrient absorption, this change alone does
not indicate that the specific treatment for Vitamin B12 deficiency has been effective.

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Which of the following actions should a nurse plan for when providing care for a client diagnosed with thrombocytopenia?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["116"]

Explanation

The client diagnosed with Vitamin B12 deficiency presents to the outpatient department for the follow up evaluation. Which nursing assessment finding indicates that the treatment has been effective? The client:

Correct Answer is C

Explanation

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