A nurse is planning care for a client with leukemia. The nurse chooses "Risk for Bleeding" as the nursing diagnosis. Which interventions support this nursing diagnosis?
Select all that apply.
A) Educate client in use of soft toothbrush for oral care.
B) Use non-electric razor when providing grooming for client.
C) Limit parenteral injections.
D) Apply pressure to arterial puncture sites for 5 minutes.
E) Encourage client to deep breathe and huff cough frequently.
Answer: A, C
The client at risk for bleeding has specific interventions to which the nurse should adhere. The nurse should educate the client in the use of soft toothbrush and the use of an electric razor to avoid bleeding. The nurse should also limit the use of parenteral injections and apply 15-20 minutes of pressure to any arterial puncture sites. The nurse should discourage the client to forcefully cough to prevent further bleeding.
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