The nurse caring for an older adult with a diagnosis of leukemia would encourage the client to use an electric razor. Why?
A) Trauma and microabrasions may contribute to anemia.
B) Fragile tissues and altered clotting mechanisms may result in hemorrhage.
C) The client is at risk for spontaneous and uncontrolled bleeding.
D) The client is at risk for infection from microorganisms.
A
Feedback:
In a client with leukemia who is at risk for hemorrhage, the nurse handles the client gently when assisting and encourages the client to use electric razors. Trauma and microabrasions from razors may contribute to anemia from bleeding. Fragile tissues and altered clotting mechanisms may result in hemorrhage even after minor trauma. Therefore, the nurse inspects the skin for signs of bruising and petechiae and reports melena, hematuria, or epistaxis (nosebleeds). The risks for spontaneous and uncontrolled bleeding or infection from microorganisms are not addressed by the use of electric razors.
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