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concept in nursing 2
Thrombocytopenia
| Question | Answer |
|---|---|
| A patient presents with thrombocytopenia secondary to heparin administration. The nurse should assess the patient for which potential complication(s)? | -Venous thrombosis -Altered cognitive status |
| A patient presents with symptoms of thrombocytopenia and a platelet count of 50,000/µL. To differentiate thrombocytopenia from a myeloproliferative disorder, which diagnostic study would the nurse anticipate being prescribed for this patient? | Bone marrow biopsy |
| A 44-year-old patient presents to the emergency department with a fever, blood clots, and history of an abnormal enzyme deficiency. The patient has not taken any medications in the past month. | -- |
| Why is this patient also likely to experience pain with the condition? | This patient is presenting with signs of thrombotic thrombocytopenic purpura (TTP). |
| A patient presents to the clinic with possible immune thrombocytopenic purpura (ITP) due to a rash on the upper legs and arm and is also recovering from a bad case of strep throat. The patient has no significant medical history. | -- |
| The nurse should anticipate which medication will be administered to this patient? | Prednisone |
| A patient is diagnosed with thrombotic thrombocytopenic purpura (TTP) and asks the nurse what to expect regarding treatment. Identify the treatments the nurse should review in the order that they would be administered. | 1) administration of antibiotics 2) plasmapheresis 3)rituximab treatment 4) surgical resection of the spleen |
| A patient diagnosed with immune thrombocytopenic purpura (ITP) will be undergoing a splenectomy. A family member asks why this procedure is necessary. Which response by the nurse is appropriate? | “Removal of the spleen will stop the unwarranted destruction of your platelets.” |
| A nurse is caring for a patient with a history of thrombocytopenia. The patient has several complications while in the hospital and needs to be on bedrest for several days. The nurse understands that one main goal is to prevent bleeding in this patient. | -- |
| Which intervention needs to be considered for this patient who needs additional bed rest at home? | Avoid herbal medications and supplements |
| A patient with a history of chronic immune thrombocytopenic purpura (ITP) comes to the nurse for dietary advice. As a health care provider, you understand that an important goal for this patient is to reduce mouth soreness and irritation. | -- |
| Which intervention would be helpful for this patient? | Soft, bland food |
| A patient diagnosed with metastasizing cancer has a history of immune thrombocytopenic purpura (ITP) controlled with prednisone. Which information will need to be covered in the education plan for this patient? | Information on chemotherapy since some drugs will cause thrombocytopenia |
Created by:
Lightnning54
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