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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Magnesium is used for torsades de pointes and hypomagnesemia.
B. Atropine is the first-line treatment for symptomatic bradycardia as it increases heart rate by blocking the vagus nerve's effect on the heart.
C. Sodium bicarbonate is used to correct metabolic acidosis, not bradycardia.
D. Epinephrine is used in cardiac arrest for asystole, pulseless electrical activity, and severe bradycardia when atropine is ineffective.

A. A client received gentamicin intermittent IV bolus over 1 hr. B. A nurse injected Demerol IM into the vastus lateralis site of adult. C. A client received a crushed bupropion XL tablet mixed with applesauce. D. A nurse used a 25-gauge / inch needle to administer a heparin injection.

Correct Answer is C

Explanation

A. Gentamicin administered over 1 hour is an appropriate method for this medication.
B. Injecting Demerol IM into the vastus lateralis is an acceptable site for adults.
C. Crushing bupropion XL (extended-release) tablets is contraindicated as it alters the drug's release mechanism, which can lead to a risk of overdose or ineffective treatment, requiring an incident report.
D. Using a 25-gauge ⅝ inch needle for heparin injection is an appropriate technique.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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