Author Question: A client has thrombocytopenia. What actions does the nurse delegate to the unlicensed assistive ... (Read 52 times)

ts19998 · **on:** Jun 25, 2018

A client has thrombocytopenia. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

a. Apply the client's shoes before getting the client out of bed.
b. Assist the client with ambulation.
c. Shave the client with a safety razor only.
d. Use a lift sheet to move the client up in bed.
e. Use the Waterpik on a low setting for oral care.

Question 2

A client has mucositis. What actions by the nurse will improve the client's nutrition? (Select all that apply.)

a. Assist with rinsing the mouth with saline frequently.
b. Encourage the client to eat room-temperature foods.
c. Give the client hot liquids to hold in the mouth.
d. Provide local anesthetic medications to swish and spit.
e. Remind the client to brush teeth gently after each meal.

deja · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, B, D
Clients with thrombocytopenia are at risk of significant bleeding even with minor injuries. The nurse instructs the UAP to put the client's shoes on before getting the client out of bed, assist with ambulation, shave the client with an electric razor, use a lift sheet when needed to reposition the client, and use a soft-bristled toothbrush for oral care.

Answer to Question 2

ANS: A, B, D, E
Mucositis can interfere with nutrition. The nurse can help with rinsing the mouth frequently with water or saline; encouraging the client to eat cool, slightly warm, or room-temperature foods; providing swish-and-spit anesthetics; and reminding the client to keep the mouth clean by brushing gently after each meal. Hot liquids would be painful for the client.