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In teaching bleeding precautions to a client with leukemia, the PN should include which of the following instructions?
A. Use a soft toothbrush.
B. Use dental floss daily.
C. Hold pressure on any scrapes for 12 minutes.
D. Use a triple-edged razor.
Correct Answer: A
Explanation/Reference:
Explanation:
A soft toothbrush is less likely to cause the gums to bleed than a stiff one. So many white cells are produced in clients with leukemias that other cell types (like platelets) are crowded out, putting the client at risk for bleeding. Choice 2 is incorrect because dental floss is contraindicated; it can make the gums bleed. Choice 3 is incorrect because when clotting is impaired, pressure should be held for 510 minutes or longer, until the bleeding stops. Choice 4 is incorrect because an electric razor should be used to prevent small cuts.Physiological Adaptation
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