In teaching bleeding precautions to a client with leukemia, the PN should include which of...

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 5–10 minutes or longer, until the bleeding stops.

Choice 4 is incorrect because an electric razor should be used to prevent small cuts.Physiological Adaptation