img-download-app
img-download-app

The nurse is planning interventions to protect a patient with thrombocytopenia. Which of the following interventions should be included?

Explanation

• A patient with thrombocytopenia is at risk for bleeding. Injections and suppositories should be avoided unless absolutely necessary. If needed, injections should be given with the smallest needle that is appropriate

• Using a soft-bristled toothbrush and avoiding flossing or cutting finger nails will limit bleeding risk

• Fall precautions should be initiated because if the patient falls, he or she is at increased risk for bleeding and any complications that may arise because of it

• Incorrect: Limiting visitors and sick staff members are important interventions for a patient with neutropenia (low WBCs), not thrombocytopenia

Visit our website for other NCLEX topics now!
Related questions

The nurse is preparing for a wet-to-dry dressing change for a patient with a diabetic foot ulcer. What is the benefit of a wet-to-dry dressing for this patient?

The nurse is caring for a patient with hyperaldosteronism. The nurse notes some non-fatal cardiac rhythm changes on telemetry. What should the nurse do next?

The nurse is caring for a patient after a total laryngectomy. It is important for the nurse to do which of the following?

A 13-year-old patient has been diagnosed with impetigo, caused by Staphylococcus aureus, for which he is receiving antibiotic treatment. While doing a physical assessment, the nurse would expect to find skin lesions on which of the following areas of the body?

A nurse is assessing a pressure ulcer on the heel of a 75-year-old male. She notes that the ulcer is deep, extending to the muscle and bone. How would the nurse stage this ulcer?

The nurse administers vitamin B12 to a patient with pernicious anemia. This patient has the inability to absorb vitamin B12 because of a deficiency in:

The nurse is providing discharge instructions to a patient that underwent a thyroidectomy. Which of the following should be included in the discharge instructions?

A patient is admitted to the hospital with signs and symptoms of systemic lupus erythematosus (SLE). Which test would confirm the diagnosis?

A nurse enters her patient's room to address the ventilator alarm. The alarm is due to low-pressure in the ventilator closed-system. After unsuccessfully determining the cause, the nurse should:

A patient with benign prostatic hypertrophy is admitted to the hospital for a scheduled surgery. Which of the following surgeries is the least invasive?

A patient who recently underwent a kidney transplant is visited by a home health nurse. The nurse assesses the patient for transplant rejection. Which of the following would be present?

A 70-year-old patient diagnosed with testicular cancer has had testicular surgery. On the day of discharge the nurse gave him instructions and told him correctly that:

The nurse conducts a home visit for a patient undergoing chemotherapy due to leukemia.  The health care provider reports the patient's neutrophil count is 600/mm³. Which instruction should the nurse provide the patient?

A patient who is to be discharged after being diagnosed with multiple myeloma is given instructions by the nurse. It is very important for the nurse to remind the patient to:

A nurse is assessing a patient suspected of an upper GI bleed. Which test should be used first to evaluate the patient's GI bleed?

An 82-year-old patient is having trouble maintaining regular bowel movements. The nurse is providing instruction and tells the patient to avoid:

Following a spinal cord injury, a patient undergoing rehabilitation is receiving instructions about urinary management. Which of the following is the most important for the nurse to tell the patient?

A patient with peptic ulcers is admitted to the hospital for a suspected perforation. While assessing the patient, the nurse would expect which common symptom of this complication?

The nurse is creating a care plan for a patient with idiopathic thrombocytopenia purpura (ITP), an autoimmune condition. Which of the following nursing interventions should be included?

A nurse is assessing a patient with acute pancreatitis. The nurse should be aware of which assessment findings that support the diagnosis?

While caring for a patient with carcinoma of the prostate gland, the nurse monitors for metastasis to which of the following structures?

A 57-year-old is admitted to an inpatient unit due to Crohn's disease. Which of the following should not be in the care plan?

A nurse is caring for a patient that sustained a traumatic chest injury causing flail chest. The nurse assesses the patient for which distinctive characteristic of flail chest?

A nurse is caring for a client diagnosed with testicular cancer who is receiving cisplatin intravenously. The nurse monitors the client for drug-drug interaction if which among the following are administered?

The nurse is assessing a patient with a barrel chest. The nurse explains to the patient that this is caused by which disease?

A patient is admitted to the hospital due to a myocardial infarction. Which of the following interventions or devices would increase coronary perfusion and decrease cardiac workload?

A hearing impaired patient was admitted to the hospital. Which of the following is the best way for the nurse to communicate effectively?

A 69-year-old patient is set to have a cerebral angiogram through the femoral artery. Which of the following would the nurse include in the teaching?

A nurse is caring for a 69-year-old male with hyperthyroidism. To provide additional comfort for the patient, the nurse should do which of the following interventions?