A nurse is caring for a child who has a new diagnosis of immune thrombocytopenia. Which of the following information regarding implications of the diagnosis should the nurse reinforce in the discharge instructions?

Children with immune thrombocytopenia should not partake in physical activity.

Children with immune thrombocytopenia have a lower risk of bleeding.

Thrombocytopenia is a chronic disease in children.

Children with a history of thrombocytopenia have a higher incidence of bleeding.

Answer and Explanation

The Correct Answer is D

A. Children with immune thrombocytopenia should not partake in physical activity. While children with severe thrombocytopenia should avoid high-impact or contact sports, complete restriction from physical activity is unnecessary. Low-risk activities can be encouraged to support overall health.

B. Children with immune thrombocytopenia have a lower risk of bleeding. This is incorrect. Thrombocytopenia is characterized by low platelet levels, which increase the risk of bleeding and bruising, making injury prevention crucial.

C. Thrombocytopenia is a chronic disease in children. Immune thrombocytopenia (ITP) can be acute or chronic, but in most children, it is a self-limiting condition that resolves within months. Chronic ITP is less common but does occur in some cases.

D. Children with a history of thrombocytopenia have a higher incidence of bleeding. This is correct. Low platelet counts impair blood clotting, increasing the risk of spontaneous bruising, nosebleeds, and prolonged bleeding from minor injuries. Parents should monitor for signs of bleeding and avoid medications like aspirin or NSAIDs that can worsen bleeding risk.

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Correct Answer is B

Explanation

A. "Your child will have the final say in all decisions regarding palliative care." While the child's preferences and wishes should be considered, decision-making typically involves collaboration between the child, parents, and healthcare team to ensure the best possible care.

B. "The primary goal of palliative care is to improve your child's quality of life." Palliative care focuses on enhancing comfort, relieving symptoms, and providing emotional, social, and spiritual support for the child and their family, regardless of disease prognosis.

C. "Palliative care only addresses your child's physical and mental needs." Palliative care is holistic, addressing not just physical and mental needs but also emotional, spiritual, and social well-being for both the child and their family.

D. "Palliative care will begin once your child has been given 6 months left to live." Palliative care is not limited to end-of-life care. It can be introduced at any stage of a serious illness, alongside curative treatments, to improve the child's overall well-being.

A. Schedule the child for a follow-up blood test to monitor lead levels over the coming weeks. B. Provide supportive care to manage common symptoms of nausea and pain. C. Promote a balanced diet rich in calcium and iron to help mitigate the lead absorption. D. Notify the health department to investigate potential lead exposure sources.

Correct Answer is B

Explanation

A. Schedule the child for a follow-up blood test to monitor lead levels over the coming weeks. While ongoing monitoring is important, it is not the immediate priority in a child with extreme lead poisoning. Immediate intervention is needed to manage acute symptoms and prevent further complications.

B. Provide supportive care to manage common symptoms of nausea and pain. This is the correct first action. Severe lead poisoning can cause neurological and gastrointestinal symptoms, including abdominal pain, vomiting, and irritability. Supportive care addresses these symptoms while preparing for further interventions like chelation therapy.

C. Promote a balanced diet rich in calcium and iron to help mitigate lead absorption. Nutritional support is beneficial in mild to moderate cases, as calcium and iron reduce lead absorption, but it is not the first priority in extreme poisoning. Immediate medical treatment takes precedence.

D. Notify the health department to investigate potential lead exposure sources. Identifying the source of lead exposure is crucial for long-term prevention, but in cases of severe poisoning, immediate medical care is the priority before environmental interventions.

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A nurse is caring for a child who has a new diagnosis of immune thrombocytopenia. Which of the following information regarding implications of the diagnosis should the nurse reinforce in the discharge instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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