What is the priority nursing diagnosis for a client with inadequate production of platelets?

Risk for Injury related to increased bleeding tendency

Risk for Infection related to decreased antibody production

Decreased Cardiac Output related to hypovolemia

Impaired Gas Exchange related to decreased oxygen-carrying capacity

Answer and Explanation

The Correct Answer is A

A.   Inadequate production of platelets results in an increased risk of bleeding, making the client vulnerable to injury. Therefore, the priority nursing diagnosis is "Risk for Injury related to increased bleeding tendency."
B.   Decreased antibody production is not directly related to inadequate platelet production.
C.   While decreased platelet production may contribute to hypovolemia in some cases, the primary concern is the risk of bleeding rather than decreased cardiac output.
D.   Impaired gas exchange is not directly related to inadequate platelet production.

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Correct Answer is A

Explanation

A. Severe pain in the abdomen and joints. Severe pain is the hallmark symptom of a sickle cell crisis, often occurring in the abdomen, joints, and bones due to vaso-occlusive events.
B. Fever and chills. While fever can be a sign of infection in individuals with sickle cell disease, it is not the most common symptom during a sickle cell crisis.
C. Cough and shortness of breath. These symptoms are more indicative of respiratory infections or complications like acute chest syndrome but are not the primary symptoms of a sickle cell crisis.
D. Numbness and tingling in the extremities. These symptoms are not typically associated with a sickle cell crisis.

A. An endometrial biopsy B. Papanicolaou test C. CA 125 D. Transvaginal ultrasound

Correct Answer is B

Explanation

A. An endometrial biopsy. This test is used to diagnose endometrial cancer, not cervical cancer.
B. Papanicolaou test. The Pap test (Papanicolaou test) is the preferred and standard method for detecting cervical cancer by identifying precancerous or cancerous cells on the cervix.
C. CA 125. CA 125 is a tumor marker that is often used in the detection and management of ovarian cancer, not cervical cancer.
D. Transvaginal ultrasound. This imaging test is typically used to evaluate ovarian and endometrial abnormalities but is not the preferred method for detecting cervical cancer.

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What is the priority nursing diagnosis for a client with inadequate production of platelets?

Nursing Test Bank

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