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    PN Comprehensive Predictor 2023 Proctored Exam

    A nurse is collecting data from a client who has thrombocytopenia. The nurse should identify that which of the following findings increases the client's risk for injury?

    Explanation & Rationale

    A. Sleeps 8 to 10 hr per night: Adequate sleep does not increase the risk of injury; in fact, it supports overall health and healing. Sleep patterns are not directly related to bleeding or bruising risk in thrombocytopenia. B. Uses a firm bristled toothbrush: A firm bristled toothbrush can cause trauma to the gums, leading to bleeding in clients with low platelet counts. Using a soft-bristled toothbrush helps minimize mucosal injury and reduces the risk of hemorrhage. C. Increased intake of green leafy vegetables: Green leafy vegetables are high in vitamin K, which supports clotting. While dietary vitamin K can influence coagulation, it does not increase injury risk; it may actually help maintain hemostasis. D. Wears a face mask around others: Wearing a mask reduces the risk of infection, which is important but does not directly affect bleeding or injury risk. Infection prevention is beneficial but not a factor that increases susceptibility to trauma in thrombocytopenia.

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