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?

Transfusion of platelets

Replacement of ADAMTS-13

Administration of protamine sulfate

Laparoscopic splenectomy

Answer and Explanation

The Correct Answer is D

A. While a platelet transfusion can temporarily increase platelet counts, it does not reduce the destruction of platelets in ITP and is generally not effective as a long-term solution.
B. Replacement of ADAMTS-13 is relevant in thrombotic thrombocytopenic purpura (TTP), not ITP. It is not used for reducing platelet destruction in ITP.
C. Protamine sulfate is an antidote for heparin overdose and does not address the platelet destruction in ITP.
D. A laparoscopic splenectomy is often considered for clients with ITP who do not respond to medication therapy. The spleen is a primary site for platelet destruction, and its removal can reduce the destruction of platelets, leading to increased platelet counts.

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Correct Answer is A

Explanation

A. This statement indicates a lack of understanding about hidden sodium in restaurant foods. Many restaurant dishes contain high levels of sodium, even if additional salt is not added at the table. The client needs to be educated about choosing low-sodium options when dining out and asking about the sodium content of meals.
B. This statement reflects correct understanding, as fresh vegetables typically contain less sodium than canned vegetables, which often have added salt.
C. This statement shows proper knowledge, as reading nutrition labels helps identify foods with high sodium content, allowing for better dietary choices.
D. This statement is appropriate, as using lemon juice and herbs is a good alternative to adding salt for flavoring food.

A. NSTEMI B. Stable angina C. STEMI D. Unstable angina

Correct Answer is D

Explanation

A. NSTEMI would present with elevated troponin levels indicating myocardial injury, which is not the case here.

B. Stable angina occurs predictably with exertion and is relieved by rest or nitroglycerin.

C. STEMI is characterized by ST-elevation on the ECG and elevated troponin levels, indicating significant myocardial injury.

D. Unstable angina presents with chest pain that occurs at rest or with minimal exertion and is not predictable. The presence of T-wave inversion and normal troponin levels is consistent with this diagnosis.

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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?

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Naxlex Comprehensive Predictor Exams

A low-sodium diet is prescribed for a client who has fluid volume overload due to chronic heart failure. The nurse recognizes that additional teaching is necessary when the client makes which statement?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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