A patient receiving chemotherapy has been told he has thrombocytopenia. He is getting ready to do his morning care. Which is an appropriate teaching measure to include?
a. "Take an aspirin before beginning; it will help with your pain."
b. "Trim your toenails close to prevent infection."
c. "Use an electric shaver."
d. "Be sure to scrub your teeth vigorously."
C
The patient should be taught to use an electric shaver. Thrombocytopenia is a reduction in the number of circulating platelets, due to the depression of the bone marrow. When the platelet count is less than 20,000/mm3, spontaneous bleeding can occur.
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A woman just received notification that her husband died. She approaches the nurse who cared for him during his last hours and says angrily, "If you had given him your undivided attention, he would still be alive.". Which analysis applies?
a. The comment warns of a malpractice suit. b. Anger is a phenomenon experienced during grieving. c. The patient had ambivalent feelings about her husband. d. In some cultures, grief is expressed solely through anger.
The nurse is conducting a class for expectant parents who need genetic counseling. Which statement by a parent would indicate the need for further education?
1. "The reason men and women are so different from one another is that none of their chromosomes are alike.". 2. "Half of the sets of chromosomes come from the mother and the other half come from the father.". 3. "The 23rd pair of chromosomes will determine if our child will be male or female.". 4. "One Y chromosome and one X chromosome will produce a male child.".
The client received a drug that caused an unexpected and unusual effect. Which term does the nurse use to describe this effect?
1. Toxic 2. Allergic 3. Therapeutic 4. Idiosyncratic
Which task could a staff nurse delegate to a certified nursing assistant (CNA)?
a. Evaluating a patient's response to pain b. Making rounds with a physician c. Feeding a stroke patient who has minimal dysphagia d. Assessing a patient's central venous line site