The nurse is managing care for a patient with cirrhosis of the liver. The nurse teaches the patient about how to avoid injury that may result in bleeding. The patient asks the nurse why he is at risk to start bleeding. What is the best response by the nurse?
1. "Because your liver is injured and unable to manufacture platelets."
2. "Because your liver thickens your blood so it is less likely to clot."
3. "Because your liver is injured and cannot make clotting factors."
4. "Because your liver is breaking down your clotting factors too quickly."
3
Rationale 1: The liver is not responsible for manufacturing platelets.
Rationale 2: The liver is not responsible for making the blood thick.
Rationale 3: The liver is responsible for the production of essential clotting factors necessary to prevent bleeding.
Rationale 4: The liver is not responsible for breaking down clotting factors.
Global Rationale: The liver is responsible for the production of essential clotting factors necessary to prevent bleeding. The liver is not responsible for breaking down clotting factors. The liver is not responsible for making the blood thick. The liver is not responsible for manufacturing platelets.
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a. rule should be flexible in nature b. rule should be generalizable to other situations c. person in authority should establish the rule d. rule should be specific to a given situation
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