Author Question: A client has thrombocytopenia. What client statement indicates the client understands ... (Read 24 times)

Awilson837 · **on:** Jun 25, 2018

A client has thrombocytopenia. What client statement indicates the client understands self-management of this condition?

a. I brush and use dental floss every day.
b. I chew hard candy for my dry mouth.
c. I usually put ice on bumps or bruises.
d. Nonslip socks are best when I walk.

Question 2

A client hospitalized with sickle cell crisis frequently asks for opioid pain medications, often shortly after receiving a dose. The nurses on the unit believe the client is drug seeking. When the client requests pain medication,

what action by the nurse is best?
a.
Give the client pain medication if it is time for another dose.
b.
Instruct the client not to request pain medication too early.
c.
Request the provider leave a prescription for a placebo.
d.
Tell the client it is too early to have more pain medication.

kilada · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
The client should be taught to apply ice to areas of minor trauma. Flossing is not recommended. Hard foods should be avoided. The client should wear well-fitting shoes when ambulating.

Answer to Question 2

ANS: A
Clients with sickle cell crisis often have severe pain that is managed with up to 48 hours of IV opioid analgesics. Even if the client is addicted and drug seeking, he or she is still in extreme pain. If the client can receive another dose of medication, the nurse should provide it. The other options are judgmental and do not address the client's pain. Giving placebos is unethical.