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A client with thrombocytopenia experiences prolonged bleeding even after minor trauma.
What statement by the nurse accurately explains the relationship between platelet count and bleeding risk?

"A platelet count below 100,000/uL is considered normal.”

"A platelet count below 50,000/uL can result in prolonged bleeding.”

"Platelet count has no impact on bleeding risk.”

"Bleeding risk increases with a platelet count above 150,000/uL.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

"A platelet count below 100,000/uL is considered normal." Rationale: This statement is incorrect.

A normal platelet count typically ranges between 150,000 and 450,000/uL.

A platelet count below 100,000/uL is not considered normal and may indicate thrombocytopenia or another underlying issue.

Choice B rationale:

"A platelet count below 50,000/uL can result in prolonged bleeding." Rationale: This statement is correct.

Platelets are essential for normal blood clotting, and a platelet count below 50,000/uL can lead to an increased risk of bleeding, especially after minor trauma.

Severe bleeding risk typically occurs when the platelet count drops below 20,000/uL.

Choice C rationale:

"Platelet count has no impact on bleeding risk." Rationale: This statement is incorrect.

Platelet count directly affects bleeding risk.

A lower platelet count increases the risk of bleeding, while a higher count can lead to an increased risk of clot formation (thrombosis)

Choice D rationale:

"Bleeding risk increases with a platelet count above 150,000/uL." Rationale: This statement is incorrect.

A platelet count above 150,000/uL is within the normal range and does not increase the risk of bleeding.

Instead, it may increase the risk of thrombosis (excessive clotting)

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Correct Answer is B

Explanation

Choice A rationale:

"A normal platelet count is below 50,000/uL." Rationale: This statement is incorrect.

A platelet count below 50,000/uL is considered low and may indicate thrombocytopenia.

However, it is not within the normal range.

The normal platelet count range is higher.

Choice B rationale:

"The normal platelet count range is 150,000/uL to 400,000/uL." Rationale: This statement is accurate.

The normal platelet count range typically falls between 150,000/uL to 400,000/uL.

Platelets play a crucial role in blood clotting, and this range reflects the normal quantity needed for proper clot formation and prevention of excessive bleeding.

Choice C rationale:

"Platelet counts below 10,000/uL are considered normal." Rationale: This statement is incorrect.

A platelet count below 10,000/uL is extremely low and indicates severe thrombocytopenia.

It is not within the normal range.

Choice D rationale:

"A platelet count above 1,000,000/uL is typical in healthy individuals." Rationale: This statement is incorrect.

A platelet count above 1,000,000/uL is considered abnormally high and can lead to an increased risk of clot formation, which is not typical in healthy individuals.

The normal range is much lower.

A. Monitoring the patient's neurological status. B. Checking the patient's vital signs. C. Administering corticosteroids. D. Preparing the patient for a splenectomy.

Correct Answer is B

Explanation

Choice A rationale:

Monitoring the patient's neurological status While monitoring neurological status is important in patient care, it is not the immediate priority when a patient with thrombocytopenia reports hematochezia (bloody stools), fatigue, and abdominal pain.

Checking vital signs helps assess the patient's overall stability and guides immediate interventions.

Choice C rationale:

Administering corticosteroids Administering corticosteroids may be a treatment option for certain types of thrombocytopenia, but it is not the initial priority in the assessment of a patient presenting with hematochezia, fatigue, and abdominal pain.

First, the nurse needs to assess the patient's condition and vital signs to determine the severity of the situation.

Choice D rationale:

Preparing the patient for a splenectomy Preparing a patient for a splenectomy is a significant intervention and should not be the initial priority in this case.

It may be considered as a treatment option in some cases of thrombocytopenia, but it should not take precedence over assessing the patient's vital signs and overall condition.

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A client with thrombocytopenia experiences prolonged bleeding even after minor trauma.What statement by the nurse accurately explains the relationship between platelet count and bleeding risk?

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Naxlex Comprehensive Predictor Exams

A nurse is educating a patient and their family about thrombocytopenia.Which statement accurately describes the normal platelet count range?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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A client with thrombocytopenia experiences prolonged bleeding even after minor trauma.
What statement by the nurse accurately explains the relationship between platelet count and bleeding risk?