Health Promotion and Maintenance Q 131

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The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

  

     A. "I will drink 500mL of fluid or less each day."

     B. "I will wear support hose when I am up."

     C. "I will use an electric razor for shaving."

     D. "I will eat foods low in iron."

    

    

Correct Answer: A. “I will drink 500mL of fluid or less each day.”

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The client with polycythemia vera is at risk for thrombus formation. Hydrating the client with at least 3L of fluid per day is important in preventing clot formation, so the statement to drink less than 500mL is incorrect.

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Option B: Wearing a support hose promotes venous return.

Option C: The electric razor prevents bleeding due to injury.

Option D: A diet low in iron is essential to preventing further red cell formation.

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