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 {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

Eczema (Atopic Dermatitis)

Discomfort level: Pain 3/10 (more likely due to itching than infection)
History of mosquito bites and prolonged scratching
No fever (Temperature 37°C/98.6°F)
Multiple scabs and lesions from scratching

Cellulitis

Redness, warmth, and swelling on the left lower leg
History of skin breakdown (scratching increases infection risk)
Lesions present (Possible infection due to prolonged scratching)

Rationale:

Eczema (Atopic Dermatitis):

Eczema is a chronic inflammatory skin condition that causes itching, dryness, and irritation, often triggered by allergens or skin trauma. The child’s history of mosquito bites and excessive scratching aligns with eczema, as scratching worsens skin irritation and can lead to scabbed lesions. The absence of fever and a mild pain level (3/10) suggest this is primarily an inflammatory response rather than an infection.

Cellulitis:

Cellulitis is a bacterial skin infection that develops when bacteria enter through a break in the skin, often causing redness, warmth, swelling, and pain. The redness, warmth, and swelling on the left lower leg indicate possible early cellulitis, likely caused by bacteria introduced through scratching. However, the absence of fever and only mild pain suggest it may not be a severe infection yet.

A. "You should give the child calcium supplements to treat the lead poisoning." B. "Prevent the child from playing in areas where lead-based paint may have been used." C. "Make sure to cook and store food in lead crystal containers to avoid contamination." D. "Let the child play outside often to dilute the concentration of lead in their body."

Correct Answer is B

Explanation

A. "You should give the child calcium supplements to treat the lead poisoning." While calcium, iron, and vitamin C can help reduce lead absorption, they do not directly treat lead poisoning. Chelation therapy is the primary treatment for high lead levels.

B. "Prevent the child from playing in areas where lead-based paint may have been used." Lead-based paint (commonly found in homes built before 1978) is a major source of lead poisoning in children. Preventing exposure by avoiding contaminated areas and addressing lead hazards is crucial in managing and preventing further poisoning.

C. "Make sure to cook and store food in lead crystal containers to avoid contamination." Lead crystal containers can leach lead into food and beverages, increasing exposure. Glass, stainless steel, or BPA-free plastic containers should be used instead.

D. "Let the child play outside often to dilute the concentration of lead in their body." Outdoor play does not lower lead levels. The body requires proper nutrition, reduced exposure, and medical treatment (such as chelation therapy) to eliminate lead safely.

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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

A nurse is caring for a 10-year-old client in a pediatric clinic. Exhibits For each potential provider's prescription, click to specify if the assessment findings are consistent with Eczema or Cellulitis. Each finding may support more than 1 disease process.

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

A nurse is reinforcing education to the caregiver of a 2-year-old toddler diagnosed with lead poisoning. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

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