A nurse is discussing the use of a thrombolytic. The client tells the nurse that they thought blood clots are very important to the body. Which is the nurse's best response?
1. "Yes clotting is very important."
2. "A balance of blood fluidity and coagulation is important to functioning of blood."
3. "Let's call the prescriber to explain."
4. "By maintaining a proper diet with a variety of electrolytes can restore blood coagulation."
2
Rationale 1: This statement does not clarify understanding.
Rationale 2: This statement provides knowledge regarding the process of maintaining a balance within the body.
Rationale 3: Calling the prescriber is not the nurse's best response.
Rationale 4: Electrolytes do not restore blood coagulation.
Global Rationale: The client is asking about hemostasis, an essential mechanism protecting the body from external and internal injury. Hemostasis must maintain a delicate balance between blood fluidity and coagulation.
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