Try Naxlex NCLEX-RN (Free-Trial)

A client with thrombocytopenia experiences prolonged bleeding even after minor trauma.
What statement by the nurse accurately explains the relationship between platelet count and bleeding risk?

"A platelet count below 100,000/uL is considered normal.”

"A platelet count below 50,000/uL can result in prolonged bleeding.”

"Platelet count has no impact on bleeding risk.”

"Bleeding risk increases with a platelet count above 150,000/uL.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

"A platelet count below 100,000/uL is considered normal." Rationale: This statement is incorrect.

A normal platelet count typically ranges between 150,000 and 450,000/uL.

A platelet count below 100,000/uL is not considered normal and may indicate thrombocytopenia or another underlying issue.

Choice B rationale:

"A platelet count below 50,000/uL can result in prolonged bleeding." Rationale: This statement is correct.

Platelets are essential for normal blood clotting, and a platelet count below 50,000/uL can lead to an increased risk of bleeding, especially after minor trauma.

Severe bleeding risk typically occurs when the platelet count drops below 20,000/uL.

Choice C rationale:

"Platelet count has no impact on bleeding risk." Rationale: This statement is incorrect.

Platelet count directly affects bleeding risk.

A lower platelet count increases the risk of bleeding, while a higher count can lead to an increased risk of clot formation (thrombosis)

Choice D rationale:

"Bleeding risk increases with a platelet count above 150,000/uL." Rationale: This statement is incorrect.

A platelet count above 150,000/uL is within the normal range and does not increase the risk of bleeding.

Instead, it may increase the risk of thrombosis (excessive clotting)

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale:

The presence of lymphadenopathy Lymphadenopathy refers to the enlargement of lymph nodes and is not a primary assessment finding to identify potential causes and types of thrombocytopenia.

While it may be relevant in some cases, it is not as prioritized as signs of infection or organ dysfunction.

Choice B rationale:

The patient's history of herbal supplements While the patient's history of herbal supplements is important to assess for potential causes of thrombocytopenia, it is not the most immediate assessment finding to prioritize.

Signs of infection or organ dysfunction are more crucial in the initial assessment as they may indicate acute and potentially life-threatening conditions.

Choice D rationale:

The size and shape of platelets on a peripheral blood smear The size and shape of platelets are important for diagnosing specific types of thrombocytopenia but are typically not the initial priority in the assessment.

Identifying signs of infection or organ dysfunction takes precedence because they can guide immediate intervention.

A. "ITP results from decreased platelet production in the bone marrow.” B. "In ITP, autoantibodies mark platelets for destruction by macrophages.” C. "ITP is characterized by impaired cleavage of von Willebrand factor.” D. "Thrombocytopenia in ITP is triggered by heparin-platelet factor 4 complexes.”

Correct Answer is B

Explanation

Choice A rationale:

"ITP results from decreased platelet production in the bone marrow." Rationale: This statement is not accurate.

Immune Thrombocytopenic Purpura (ITP) is primarily a disorder of platelet destruction, not decreased production in the bone marrow.

In ITP, autoantibodies target platelets, leading to their destruction by macrophages.

Choice B rationale:

"In ITP, autoantibodies mark platelets for destruction by macrophages." Rationale: This is the correct answer.

ITP is an autoimmune disorder where the immune system produces autoantibodies that attach to platelets, tagging them for destruction by macrophages in the spleen and liver.

Choice C rationale:

"ITP is characterized by impaired cleavage of von Willebrand factor." Rationale: This statement is not accurate.

Impaired cleavage of von Willebrand factor is a characteristic of von Willebrand disease, a different bleeding disorder, not ITP.

Choice D rationale:

"Thrombocytopenia in ITP is triggered by heparin-platelet factor 4 complexes." Rationale: This statement is incorrect.

Heparin-induced thrombocytopenia (HIT) involves the formation of antibodies against heparin-platelet factor 4 complexes, leading to platelet activation and a decrease in platelet count.

This is a different condition than ITP.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client with thrombocytopenia experiences prolonged bleeding even after minor trauma.What statement by the nurse accurately explains the relationship between platelet count and bleeding risk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a physical examination of a patient suspected of having thrombocytopenia. What assessment findings should the nurse prioritize to identify potential causes and types of thrombocytopenia?

Correct Answer is C

Explanation

A nurse is caring for a patient with thrombocytopenia.Which statement accurately describes the pathophysiology of immune thrombocytopenic purpura (ITP)?

Correct Answer is B

Explanation

A nurse is caring for a patient with thrombocytopenia.The patient reports experiencing hematochezia, fatigue, and abdominal pain.What should the nurse prioritize in the assessment of this patient?

A client with thrombocytopenia presents with schistocytes on the peripheral blood smear.What does the presence of schistocytes indicate, and how should the nurse interpret this finding?

A nurse is caring for a patient diagnosed with thrombocytopenia. What should the nurse include in the patient education regarding self-care measures?

A nurse is educating a patient and their family about thrombocytopenia.Which statement accurately describes the normal platelet count range?

(Select all that apply): A nurse is assessing a patient with thrombocytopenia.Which interventions are appropriate for this patient? Select all that apply.

(Select all that apply):A nurse is providing care to a patient with thrombocytopenia.Which nursing interventions are appropriate for this patient? Select all that apply.

A client with thrombocytopenia presents with petechiae, pallor, and weakness.Which intervention should the nurse implement to address the client's symptoms?

(Select all that apply):A nurse is assessing a patient with suspected thrombocytopenia.Which findings should the nurse consider as potential signs or symptoms of thrombocytopenia? Select all that apply.

A client with thrombocytopenia experiences prolonged bleeding even after minor trauma.
What statement by the nurse accurately explains the relationship between platelet count and bleeding risk?