The nurse is caring for a client with thrombocytopenia whose platelet level is 18,000/mm³. Which of the following assessment findings should the nurse expect?

Reports of fatigue.

Hemorrhage.

Petechiae.

Reports of headache.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Fatigue can occur in thrombocytopenia due to associated bleeding or anemia, but it is not a hallmark symptom specific to low platelet counts alone. Fatigue relates more to overall systemic effects or concurrent conditions rather than isolated thrombocytopenia. Hemorrhage and petechiae, however, are more directly correlated with reduced platelets in circulation, which compromise clotting and vascular integrity.

Choice B rationale

Hemorrhage is a major concern in thrombocytopenia due to severely reduced platelet counts. Normal platelet levels range from 150,000–450,000/mm³, and values of 18,000/mm³ indicate critical impairment in clot formation, increasing the risk of spontaneous bleeding. Hemorrhagic events in vital organs pose life-threatening consequences, making monitoring and interventions essential to minimize complications associated with uncontrolled bleeding.

Choice C rationale

Petechiae are pinpoint hemorrhages visible on the skin or mucosal surfaces, indicating capillary bleeding due to insufficient platelet-mediated clotting. Normal platelet levels maintain vascular integrity by enabling clot formation, which prevents such microvascular bleeding. Platelet counts as low as 18,000/mm³ lead to abnormal hemorrhagic manifestations, making petechiae a frequent and observable sign in severe thrombocytopenia cases.

Choice D rationale

Headache can occur with thrombocytopenia if intracranial hemorrhage develops, but it is not an expected symptom in all cases. While bleeding risks elevate overall concerns, headache depends on specific organ involvement. Petechiae and systemic hemorrhage are primary symptoms associated with low platelet levels. Headaches without evidence of bleeding do not distinctly correlate with thrombocytopenia diagnosis.

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Correct Answer is D

Explanation

Choice A rationale

A low sodium, high-calorie diet may improve overall health but does not address immediate severe pain from renal colic. Dietary modifications can have long-term benefits but are not first-line interventions for acute pain caused by kidney stones. Immediate pain relief is prioritized over dietary adjustments in this scenario.

Choice B rationale

Increasing fluid intake helps flush out kidney stones and prevent their formation. However, fluid intake does not provide immediate pain relief for renal colic. It is crucial in long-term management, but acute management prioritizes analgesics to address the client’s severe pain.

Choice C rationale

Tamsulosin relaxes the smooth muscles in the urinary tract, facilitating stone passage and reducing obstruction-related discomfort. While beneficial, it takes time to work and does not immediately relieve severe pain. It is not the first prescription to implement for acute pain management in renal colic.

Choice D rationale

Morphine sulfate is an opioid analgesic that provides rapid relief for severe pain associated with renal colic. Administering morphine addresses the acute issue and allows for further interventions to manage the underlying cause. Pain control is the priority in renal colic cases with severe pain.

A. "It is important to avoid exposure to cold climates.”. B. "You need to consume an increased amount of oral fluids daily.”. C. "Include iron and vitamin B12-rich foods in your diet each day.”. D. "Be sure to check the list of medications and substances to avoid before starting anything new.”. . . .

Correct Answer is D

Explanation

Choice A rationale

Avoiding exposure to cold climates is not specific to thalassemia prevention. While cold environments may exacerbate general vasoconstriction, they do not influence the genetic and hematologic basis of thalassemia symptoms.

Choice B rationale

Increasing fluid intake does not directly address thalassemia pathophysiology. While hydration is vital, it does not correct the primary anemia or the compromised oxygen delivery stemming from abnormal hemoglobin synthesis.

Choice C rationale

Iron and vitamin B12-rich foods are beneficial for conditions involving deficiency anemia. However, thalassemia involves a genetic defect in hemoglobin chains, so excess iron could even result in iron overload complications.

Choice D rationale

Medications and substances that exacerbate hemolysis, such as sulfonamides or antimalarials, should be avoided in thalassemia. Awareness and prevention of exposure are key to minimizing symptoms and complications in affected individuals. .

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The nurse is caring for a client with thrombocytopenia whose platelet level is 18,000/mm³. Which of the following assessment findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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