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    NR302 Health Assessment Chamberlain University (Examplify) Proctored Exam

    The nurse is planning care for a client diagnosed with a clotting disorder. Which outcome should the nurse prioritize in the client's care plan?

    Explanation & Rationale

    A. A clotting disorder places the client at high risk for bleeding complications due to impaired coagulation. Petechiae and purpura are signs of bleeding under the skin and may indicate worsening thrombocytopenia or coagulation dysfunction. Preventing bleeding and monitoring for early signs of hemorrhage are the highest priorities, as uncontrolled bleeding can become life-threatening. This outcome directly reflects maintaining hemostatic stability and preventing complications. B. Ambulation promotes circulation and overall health, but in a client with a clotting disorder—especially one involving bleeding risk—safety precautions are essential. While mobility is important, it is not the priority over preventing hemorrhage. C. Education regarding diet (such as vitamin K intake for clients on anticoagulants) is important for long-term management. However, it does not address the immediate safety concern of preventing bleeding. Education is a secondary priority after physiologic stability is ensured. D. Adequate hydration supports overall health and circulation, but it does not directly address the most serious risk associated with a clotting disorder, which is bleeding or hemorrhage.

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