A nurse is caring for a client who has a diagnosis of immune thrombocytopenic purpura (ITP). Despite medication therapy, the client's platelets are low. Which of the following procedures would reduce the destruction of platelets for a client who has ITP?
Transfusion of platelets
Replacement of ADAMTS-13
Administration of protamine sulfate
Laparoscopic splenectomy
The Correct Answer is D
A. While a platelet transfusion can temporarily increase platelet counts, it does not reduce the destruction of platelets in ITP and is generally not effective as a long-term solution.
B. Replacement of ADAMTS-13 is relevant in thrombotic thrombocytopenic purpura (TTP), not ITP. It is not used for reducing platelet destruction in ITP.
C. Protamine sulfate is an antidote for heparin overdose and does not address the platelet destruction in ITP.
D. A laparoscopic splenectomy is often considered for clients with ITP who do not respond to medication therapy. The spleen is a primary site for platelet destruction, and its removal can reduce the destruction of platelets, leading to increased platelet counts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Elevated BUN can indicate kidney dysfunction but is not specific for assessing heart failure severity.
B. Elevated troponin levels indicate myocardial injury or infarction, not heart failure exacerbation.
C. B-type natriuretic peptide (BNP) levels are directly correlated with the severity of heart failure, as they are released in response to ventricular volume expansion and pressure overload.
D. An electrocardiogram (ECG) can show arrhythmias or ischemia but does not directly measure heart failure severity.
Correct Answer is D
Explanation
A. Jugular vein distention (JVD) is more commonly associated with right-sided heart failure, not left-sided heart failure.
B. Peripheral edema is also more commonly associated with right-sided heart failure.
C. Ascites or fluid accumulation in the abdomen is typically associated with right-sided heart failure.
D. Pink, frothy sputum is indicative of pulmonary edema, which is a common symptom of left-sided heart failure due to the backup of blood into the lungs.
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