In instructing clients with disorders related to platelet and clotting factors, the nurse should advise them to: Select all that apply
1. Refrain from flossing during the acute phase.
2. Use lightweight blankets.
3. Avoid Valsalva's maneuver.
4. Monitor skin condition.
5. Brush teeth only once per day.
1. Refrain from flossing during acute phase.
2. Use lightweight blankets.
3. Avoid Valsalva's maneuver.
4. Monitor skin condition.
Rationale:
Refrain from flossing during acute phase. Flossing may stimulate bleeding.
Use lightweight blankets. Heat causes vasodilation.
Avoid Valsalva's maneuver. Increased intrathoracic pressure may cause bleeding.
Monitor skin condition. Petechiae and ecchymoses are signs of bleeding.
Brush teeth only once per day. The number of times teeth are brushed is irrelevant and does not precipitate bleeding.
You might also like to view...
In a nurse managers' meeting, strategies for ways to help retain staff are discussed. One strategy for assisting nurses in developing collective action skills is:
a. Accepting the practice of "going along to get along." b. Attending as many workshops as practical. c. Spending as much time as possible in clinical settings. d. Taking the opportunity to work with a mentor.
While assessing a dark-skinned patient at the clinic, the nurse notes the presence of patchy, milky white spots. The nurse knows that this finding is characteristic of what diagnosis?
A) Cyanosis B) Addison's disease C) Polycythemia D) Vitiligo
The nurse should teach a client with peripheral vascular disease on vasodilator therapy about the effects of smoking, including:
a. tars in tobacco increase the effectiveness of vasodilator therapy. b. nicotine may result in hypertension in persons taking vasodilators. c. nicotine has vasodilating effects that increase the effects of vasodilator therapy. d. the use of tobacco products should be avoided because of its vasoconstricting effects.
Ordered: Dopamine 400 mg in 250 mL D5W to deliver 4 mcg/kg/min to a 165 lb patient.The infusion pump should be set at ________. (Round to the nearest tenth)
Fill in the blank(s) with the appropriate word(s).