A client with immune thrombocytopenic purpura (ITP) will begin treatment with romiplostim (Nplate) to be administered by subcutaneous injection in the provider's office once per week. Which statement should the nurse plan to include when educating the client about this medication?

This medication increases the production of plasma enzyme ADAMTS-13.

This medication prevents platelets from being destroyed in the spleen.

This medication prevents platelets from binding with heparin.

This medication stimulates the bone marrow to increase platelet production.

Answer and Explanation

The Correct Answer is D

A. Romiplostim does not increase the production of ADAMTS-13; it is used to increase platelet counts.
B. Romiplostim does not prevent platelet destruction in the spleen; it works by stimulating platelet production.
C. Romiplostim does not prevent platelets from binding with heparin; it is not used for heparin-induced thrombocytopenia.
D. Romiplostim is a thrombopoietin receptor agonist that stimulates the bone marrow to increase platelet production, which is its primary mechanism of action in treating ITP.

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Correct Answer is A

Explanation

A. Intrascapular pain and indigestion can be atypical presentations of myocardial infarction, particularly in women.
B. Pain and swelling in one lower limb suggest deep vein thrombosis (DVT), not myocardial infarction.
C. Elevated serum creatinine indicates kidney dysfunction but is not a direct manifestation of myocardial infarction.
D. Crackles in the lungs and elevated temperature suggest possible infection or heart failure exacerbation, but not specifically myocardial infarction.

A. A client who had a myocardial infarction two days ago, and complains of soft stools after taking docusate sodium. B. A client being treated for thrombotic thrombocytopenic purpura (TTP) who has had 120 mL of urine output in the last 12 hours. C. A client who was admitted for premature atrial contractions (PACS) and whose most recent blood pressure is 148/89. D. A client receiving furosemide for heart failure whose daily weight shows that he has lost 0.5 kg since yesterday.

Correct Answer is B

Explanation

A. While soft stools after taking docusate sodium is noteworthy, it is not immediately life-threatening and does not require urgent intervention.
B. Oliguria (low urine output) in a client with TTP is concerning because it may indicate acute kidney injury or worsening of the condition, requiring immediate assessment and intervention.
C. An elevated blood pressure in a client with PACs is important but not as critical as potential kidney dysfunction in the TTP patient.
D. A weight loss of 0.5 kg in a client with heart failure on furosemide may be expected and does not require immediate intervention.

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A client with immune thrombocytopenic purpura (ITP) will begin treatment with romiplostim (Nplate) to be administered by subcutaneous injection in the provider's office once per week. Which statement should the nurse plan to include when educating the client about this medication?

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Naxlex Comprehensive Predictor Exams

A nurse on a telemetry unit is caring for four clients. Which of the following clients is experiencing potential manifestations of a myocardial infarction?

Correct Answer is A

Explanation

A nurse receives report on four clients at the beginning of the shift. Which of the following clients should the nurse place priority on assessing first?

Correct Answer is B

Explanation

A client who has been diagnosed with chronic stable angina is placed on multiple medications to manage the condition. The nurse understands that the client is receiving lisinopril for which reason?

The nurse is caring for a client who has left-sided heart failure. Which statement made by the patient would be consistent with left-sided heart failure?

A client with immune thrombocytopenic purpura (ITP) will begin treatment with romiplostim (Nplate) to be administered by subcutaneous injection in the provider's office once per week. Which statement should the nurse plan to include when educating the client about this medication?

A nurse is caring for a client who has a diagnosis of immune thrombocytopenic purpura (ITP). Despite medication therapy, the client's platelets are low. Which of the following procedures would reduce the destruction of platelets for a client who has ITP?

A client has been diagnosed with chronic stable angina and has a new prescription for nitroglycerin tablets. Which statement about this medication should the nurse include in the patient education?

A client has been admitted repeatedly in the past year for episodes of atrial flutter which the cardiologist believes are caused by an area of conduction in the atria other than the SA node. Medications have not improved the condition. Which procedure should the nurse anticipate will be performed?