A patient is being discharged after treatment for thrombocytopenia. Which topics should the nurse consider when developing discharge instructions? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Ensuring safety in the home environment
2. Recognizing the signs of cutaneous bleeding
3. Alerting the community pharmacist about the patient's condition
4. Reducing alcohol consumption and increasing thiazide medications
5. Developing a plan for physical exercise
1,2,3,5
Rationale 1: The home environment should be free from safety hazards that may cause falls or other types of physical injury.
Rationale 2: The patient should be taught to monitor the skin for bruising, petechiae, and purpura.
Rationale 3: Medications—prescription or over-the-counter—may contribute to bleeding problems. The patient's pharmacist should be made aware of the diagnosis.
Rationale 4: Alcohol has a marrow-depressing effect, leading to transient thrombocytopenia; its use should be reduced. Thiazide medications can produce mild thrombocytopenia; their use should also be reduced.
Rationale 5: The patient should engage in physical exercise that will maintain cardiomuscular strength but not expose the patient to injury.
You might also like to view...
The nurse is taking a health history on a 38-year-old man who is taking atorvastatin (Lipitor) for high cholesterol. What will the nurse question specifically related to the safe use of this drug?
A) Alcohol B) Nicotine C) Caffeine D) Herbal therapy
The nurse is caring for a patient with a mood disorder who has been admitted to the medical-surgical unit for postoperative care. Which actions are appropriate therapeutic strategies for use with a patient with a mood disorder? Select all that apply
1. Offering a variety of choices in order to keep communication open 2. Keeping communication simple by offering limited choices 3. Reminding patients of delusional material when symptoms have resolved 4. Questioning the patient's belief system when it conflicts with the nurse's 5. Not reminding patients of inappropriate behaviors when in an altered state of mental health
After being diagnosed, a client asks the nurse "What is pyelonephritis?" The nurse should respond:
1. "Pyelonephritis is an infection of the bladder." 2. "Pyelonephritis is an infection of the urethra." 3. "Pyelonephritis is an infection of the prostate." 4. "Pyelonephritis is a common infection that needs to be treated to prevent complications."
Which nursing strategy will prevent the dislocation of the hip prosthesis?
A) Turning on the affected side B) Crossing the legs when sitting C) Sitting at a 90-degree angle D) Maintaining abduction