MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
While caring for a client, the nurse notes petechiae on the client’s trunk and lower extremities. What precaution will the nurse take when caring for this client?
A
Use an electric razor when assisting client with shaving.
B
Apply supplemental oxygen to maintain the client’s oxygenation.
C
Elevate the client’s head of the bed.
D
Where a mask when entering the client’s room.
Explanation: 

Detailed explanation-1: -What precaution will the nurse take when caring for this client? Use an electric razor when assisting client with shaving. Explanation: Petechiae are associated with severe thrombocytopenia, placing the client at risk for bleeding. The nurse should use an electric razor when assisting the client with shaving.

Detailed explanation-2: -Whenever blood or a blood product is being administered, the nurse must closely monitor the client for the signs and symptoms of a possible complication. The first thing that the nurse must do when a reaction or a complication is possible is to discontinue the administration of the blood or blood product.

Detailed explanation-3: -When a transfusion reaction is suspected, the transfusion should be immediately stopped, and the intravenous line should be kept open using appropriate fluids (usually 0.9% saline). A clerical check should be performed by examining the product bag and confirming the patient’s identification.

Detailed explanation-4: -Infusion devices, such as infusion pumps, blood warmers, rapid infusers, and pressure devices, can be used to transfuse blood components. A pressure infusion device may be needed for the rapid transfusion of blood components.

Detailed explanation-5: -Check your blood pressure, pulse and temperature. Make sure the donor blood type is a match for your blood type. Make sure that the supplied blood is the product ordered by your doctor and is labeled with your name.

There is 1 question to complete.