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    Ati rn adult medical surgical 2023 proctored exam

    A nurse is caring for a client who has thrombocytopenia due to chemotherapy treatment. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Provide a low-residue diet: A low-residue diet is not directly related to managing thrombocytopenia. The priority for clients with thrombocytopenia is preventing bleeding, so dietary recommendations should focus on avoiding foods that can cause injury or irritation. B. Administer a rectal suppository: Rectal suppositories should be avoided in clients with thrombocytopenia because they can cause trauma to the rectal mucosa and lead to bleeding due to the low platelet count. C. Instruct the client to use a soft-bristled toothbrush: A soft-bristled toothbrush is important for clients with thrombocytopenia to prevent gum injury and bleeding. It minimizes the risk of oral bleeding while maintaining good oral hygiene. D. Encourage the client to use a safety razor when shaving: A safety razor should not be recommended for clients with thrombocytopenia because it can cause cuts and bleeding. An electric razor is a safer alternative to minimize the risk of injury.

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