When making morning rounds, a client with acute leukemia reports having nosebleeds off and on throughout the night. Which of the following actions should be taken by the nurse?
A)
Determine if client has pain anywhere.
B)
Report the findings to the physician.
C)
Check the client's blood pressure and pulse.
D)
Apply a water-soluble lubricant to the nares.
B
Explanation:
A)
Manifestations of bleeding such as bleeding gums and nosebleeds should be reported promptly, since bleeding can lead to death in acute leukemia. Options A and C should be done after B.
Analysis
Implementation
Physiological Integrity: Reduction of Risk Potential
B)
Manifestations of bleeding such as bleeding gums and nosebleeds should be reported promptly, since bleeding can lead to death in acute leukemia. Options A and C should be done after B.
Analysis
Implementation
Physiological Integrity: Reduction of Risk Potential
C)
Manifestations of bleeding such as bleeding gums and nosebleeds should be reported promptly, since bleeding can lead to death in acute leukemia. Options A and C should be done after B.
Analysis
Implementation
Physiological Integrity: Reduction of Risk Potential
D)
Manifestations of bleeding such as bleeding gums and nosebleeds should be reported promptly, since bleeding can lead to death in acute leukemia. Options A and C should be done after B.
Analysis
Implementation
Physiological Integrity: Reduction of Risk Potential
You might also like to view...
A newborn is admitted to the nursery from the delivery room. All of the activities must be performed. Place the activities in order of performance from first to last. Standard Text: Click and drag the options below to move them up or down
Choice 1. Administer a vitamin K injection. Choice 2. Take vital signs. Choice 3. Place in an overbed warmer. Choice 4. Administer eye prophylaxis. Choice 5. Administer an admission bath.
A client has a bone density score of -2.8. What action by the nurse is best?
a. Asking the client to complete a food diary b. Planning to teach about bisphosphonates c. Scheduling another scan in 2 years d. Scheduling another scan in 6 months
A new mother who is breastfeeding has asked for pain medication for uterine cramping and episiotomy pain. The nurse recognizes that:
a. The best time to administer the analgesic is immediately after breastfeeding to minimize drug transfer in breast milk. b. The best time to administer the analgesic is just before the feeding so the feeding will be over before the drug peaks. c. The time of administration does not matter. d. Analgesics cannot be taken by a breastfeeding mother.
The life expectancy for Indigenous people is about ____ lower than that of Australians generally
a. 5 years b. 10 years c. 15 years d. 17 years