During morning rounds, the nurse is told one of her clients will ...

[lbcchick]

During morning rounds, the nurse is told one of her clients will need a platelet transfusion. From this information, the nurse infers that which should be removed from a client's room?
 
  1. Visitors
  2. Magazines
  3. Fresh flowers
  4. Shaving razors

Question 2

A client with cirrhosis is due to have a liver biopsy performed. What will the monitor this client for at the bedside following the procedure?
 
  1. Dyspnea
  2. Fever
  3. Bleeding
  4. Airway obstruction

[amandanbreshears]

Answer to Question 1

Correct Answer: 4
Rationale 1: Visitors should be limited for clients with neutropenia.
Rationale 2: Magazines pose no harm to this client.
Rationale 3: Fresh flowers should be removed from a leukopenic client's room.
Rationale 4: This client might have a decreased ability to clot at this time. Shaving razors should be avoided.
Global Rationale: This client might have a decreased ability to clot at this time. Shaving razors should be avoided. Visitors should be limited for clients with leukopenia not with clotting abnormalities. Magazines pose no harm to this client. Fresh flowers should be removed from a leukopenic client's room.

Answer to Question 2

Correct Answer: 3
Rationale 1: Dyspnea could occur, but it is not the priority condition for which the nurse should monitor.
Rationale 2: The nurse does not need to remain at the bedside after the procedure to assess for fever.
Rationale 3: Several clotting factors are made by the liver. The client should be monitored for bleeding.
Rationale 4: Airway obstruction should not occur secondary to a liver biopsy.
Global Rationale: Several clotting factors are made by the liver. The client should be monitored for bleeding. Dyspnea could occur, but it is not the priority condition for which the nurse should monitor. The nurse does not need to remain at the bedside after the procedure to assess for fever. Airway obstruction should not occur secondary to a liver biopsy.

[lbcchick]

Excellent

[anyusername12131]

Gracias!