A 56-year-old female is being admitted for complications related to chemotherapy for metastatic breast cancer. The client is thrombocytopenic. What nursing precautions are essential for this client? Select all that apply
1. Use soft oral swabs
2. Avoid injections
3. Use electric razors
4. Avoid rectal suppositories
5. Placed in a private room
1. Use soft oral swabs
2. Avoid injections
3. Use electric razors
4. Avoid rectal suppositories
Rationale: Use soft oral swabs. Soft swabs will help prevent bleeding gums. Avoid injections. Avoiding injections will help prevent bleeding from shaving. Use electric razors. Electric razors are safer when there is an increased risk for bleeding. Avoid rectal suppositories. Rectal suppositories increase the risk for rectal bleeding and should be avoided. Placed in a private room. It is not necessary to place a client who is at risk for bleeding in a private room.
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During morning report the nurse is challenged to defend clinical reasoning used when providing client care. Which behaviors indicate that the nurse used intellectual courage when responding to this question? (Select all that apply.)
1. Considered alternatives 2. Used information learned to make a decision 3. Listened to the other nurse's ideas and thoughts 4. Defended thinking used to make the care decision 5. Recognized a pattern and connected it with knowledge
An older client reports having a white patch inside the mouth. The nurse assesses a 2 cm by 2 cm lesion on the inner aspect of the left jaw. How should the nurse respond to the client?
1. "Rinse with a mild solution of hydrogen peroxide and water." 2. "The white patch is the result of aging and no cause for concern." 3. "You should contact your healthcare provider for an evaluation of the area." 4. "I think the patch looks like a bacterial infection and you will most likely need an antibiotic."
When assessing a child for possible congenital heart defects, where should the nurse measure blood pressure?
a. The right arm b. The left arm c. All four extremities d. Both arms while the child is crying
Which of the following will ease the anxiety of the patient coming into the hospital?
A) a cool, efficient manner B) a hurried manner C) a friendly, courteous manner D) all of the above