Which Nursing Intervention Is Appropriate for the Patient Diagnosed with Heparin-Induced

question 1

Multiple Choice

Which nursing intervention is appropriate for the patient diagnosed with heparin-induced thrombocytopenia who has the nursing diagnosis of Risk for Bleeding?

• A) Avoid invasive procedures, such as rectal temperatures, urinary catheterizations, and parenteral injections.
• B) Hold pressure on laboratory testing venipuncture sites for at least 15 mintues.
• C) Give enemas to avoid straining during bowel movements.
• D) Encourage frequent independent ambulation.

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Definitions:

Weeping Ulcers

Ulcers that produce a watery fluid or pus, often indicating an infection or underlying health issue.

Diabetes

A chronic condition characterized by high levels of sugar in the blood due to the body's inability to produce or properly use insulin.

Elevational Pallor

A condition where there is paleness of the skin when the limb is raised, often indicative of arterial insufficiency.

Venous Filling

The process of blood returning to the heart through the venous system, often assessed to evaluate circulatory health.