WEIGHED ADULT HEALTH QUESTIONS AND ANSWERS

WEIGHED ADULT HEALTH QUESTIONS AND ANSWERS The nurse provides education regarding daily activities to a patient with thrombocytopenia. Which patient activity indicates understanding of the teaching? 1. Flossing using thick tape floss 2. Shaving using an electric razor 3. Wearing flip flops to go walking 4. Brushing using a stiff-bristle toothbrush - CORRECT ANSWER -2. Shaving using an electric razor. A patient with thrombocytopenia has a decreased number of platelets, and therefore prolonged bleeding will be observed even for minor injuries. Shaving using an electric razor blade decreases the risk of cuts and wounds resulting in decreased bleeding. Therefore this activity of the patient indicates understanding of the nurse's teaching. Walking with flip flops can cause the patient to trip, causing the risk for cuts or wounds and increased bleeding. Flossing using a thick tape floss is not safe and can cause an increased risk for bleeding. Brushing using a stiff-bristle toothbrush causes injury to the gums and is not safe; therefore the nurse needs to perform more patient teaching. A patient experiences thrombocytopenia. The nurse should monitor the patient for which major complication? 1. Fatigue 2. Weakness 3. Hemorrhage 4. Abdominal pain - CORRECT ANSWER -3. Hemorrhage The major complication of thrombocytopenia is hemorrhage. This occurs due to a decreased number of platelets in blood, which results in excessive bleeding. Fatigue, weakness, and abdominal pain are minor complications of thrombocytopenia. The nurse corrects the nursing student when caring for a client with neutropenia secondary to chemotherapy in which circumstance? A. The student scrubs the hub of IV tubing before administering an antibiotic. B. The nurse overhears the student explaining to the client the importance of handwashing. C. The student teaches the client that symptoms of neutropenia include fatigue and weakness. D. The nurse observes the student providing oral hygiene and perineal care. - CORRECT ANSWER -ANS: C Symptoms of neutropenia include low neutrophil count, fever, and signs and symptoms of infection; the student should be corrected. Asepsis with IV lines is an appropriate action. Handwashing is an essential component of client care, especially when the client is at risk for neutropenia. Hygiene and perineal care help prevent infection and sepsis. A client with hyperthyroidism has been given methimazole. Which nursing considerations are appropriate with this medication? Select all that apply. 1. Admin methimazole with food. 2. Place the client on a low-cal, low protein diet. 3. Assess client for unexplained bruising or bleeding. 4. Instruct client to report side effect such as sore throat, fever, or headaches. 5. Use special radioactive precautions when handling the client's urine for the first 24 hours following the initial assessment. - CORRECT ANSWER -1, 3, 4 Which medication blocks synthesis of thyroid hormone? 1. Dexamethasone 2. Methimazole 3. Potassium iodide 4. Sodium iodide - CORRECT ANSWER -2. Methimazole A client is admitted to the health care facility for evaluation for Addison's disease. Which laboratory test result best supports a diagnosis of Addison's disease?