A nurse is developing a care plan for a patient who has been diagnosed with idiopathic thrombocytopenic purpura (ITP). Which of the following symptoms is most important for the nurse to monitor?

Elevated WBC count.

Fever.

Ecchymosis.

Fatigue.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While an elevated WBC count can indicate an infection, it is not the most important symptom to monitor in a patient with idiopathic thrombocytopenic purpura (ITP). ITP is primarily a platelet disorder, and while infection can trigger or exacerbate the condition, an elevated WBC count is not a direct symptom of ITP78.

Choice B rationale

Fever can be a sign of infection, which can trigger or exacerbate ITP. However, it is not the most important symptom to monitor in a patient with ITP78.

Choice C rationale

Ecchymosis, or bruising, is a key symptom of ITP. Because ITP involves a decrease in platelets, which are necessary for clotting, patients with this condition are prone to bruising and bleeding. Therefore, monitoring for ecchymosis is crucial.

Choice D rationale

Fatigue can be a symptom of ITP, but it is not the most important symptom to monitor. While fatigue can impact a patient’s quality of life, it does not directly indicate the severity of the condition.

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Correct Answer is C

Explanation

Choice A rationale

The statement about shock waves refers to a different procedure called extracorporeal shock wave lithotripsy, which is used to break up kidney stones and gallstones. It is not related to an oral cholangiogram.

Choice B rationale

An oral cholangiogram does not involve inserting a camera down the throat. This statement seems to refer to an endoscopic procedure, which is different from an oral cholangiogram.

Choice C rationale

This statement is correct. An oral cholangiogram is an X-ray examination of the gallbladder and bile ducts. The patient takes an oral medication that makes these structures more visible on the X-ray.

Choice D rationale

This statement is incorrect. An oral cholangiogram does not involve putting medication into the gallbladder to dissolve stones. This seems to refer to a different treatment approach.

A. Call the Doctor. B. Administer diazepam. C. Obtain a medical history. D. Raise the side rails of the bed.

Correct Answer is B

Explanation

Choice A rationale

While it is important to notify the doctor, it is not the first action. The priority is to manage the patient’s symptoms and ensure their safety.

Choice B rationale

Administering diazepam is the correct first action. Delirium tremens is a severe form of alcohol withdrawal that can cause dangerous changes in breathing, blood pressure, and heart rate. Benzodiazepines like diazepam are the first line of treatment.

Choice C rationale

Obtaining a medical history is important, but it is not the first action. The priority is to treat the patient’s symptoms and stabilize their condition.

Choice D rationale

Raising the side rails of the bed is important for patient safety, but it is not the first action. The priority is to treat the patient’s symptoms. Diabetic ketoacidosisDiabetic ketoacidosis Explore

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A nurse is developing a care plan for a patient who has been diagnosed with idiopathic thrombocytopenic purpura (ITP). Which of the following symptoms is most important for the nurse to monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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