A nurse is planning care for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following manifestations is most appropriate for the nurse to monitor?
Elevated WBC
Fever
Fatigue
Ecchymosis
The Correct Answer is D
A. Elevated WBC is not typically associated with ITP, which primarily affects platelet counts.
B. Fever may indicate infection but is not specific to ITP.
C. Fatigue can occur in clients with ITP due to anemia or chronic illness but is not specific to the condition.
D. Ecchymosis (bruising) is a hallmark manifestation of ITP due to low platelet counts and increased bleeding tendencies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Closed-ended questions may limit the information gathered from the client. Open-ended questions are more appropriate for exploring sensitive topics like STIs.
B. Referring a client to genetic counseling is not typically indicated solely based on a history of STIs.
C. A client's reproductive health history, including past and present STIs, is crucial for comprehensive counseling and treatment planning.
D. Asking about the client's exposure to past or present STIs is important for assessing risk factors, providing appropriate counseling, and guiding testing and treatment decisions.
Correct Answer is B
Explanation
A. Hepatitis is not a known adverse effect of calcium supplementation.
B. Renal stones (kidney stones) are a potential adverse effect of excessive calcium intake, and flank pain is a common symptom of kidney stones.
C. Hip fractures are a concern with osteoporosis but not an adverse effect of calcium supplementation.
D. Pancreatitis is not a known adverse effect of calcium supplementation.
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