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

"A normal platelet count is below 50,000/uL.”

"The normal platelet count range is 150,000/uL to 400,000/uL.”

"Platelet counts below 10,000/uL are considered normal.”

"A platelet count above 1,000,000/uL is typical in healthy individuals.”

Answer and Explanation

The Correct Answer is B

Choice A rationale:

"A normal platelet count is below 50,000/uL." Rationale: This statement is incorrect.

A platelet count below 50,000/uL is considered low and may indicate thrombocytopenia.

However, it is not within the normal range.

The normal platelet count range is higher.

Choice B rationale:

"The normal platelet count range is 150,000/uL to 400,000/uL." Rationale: This statement is accurate.

The normal platelet count range typically falls between 150,000/uL to 400,000/uL.

Platelets play a crucial role in blood clotting, and this range reflects the normal quantity needed for proper clot formation and prevention of excessive bleeding.

Choice C rationale:

"Platelet counts below 10,000/uL are considered normal." Rationale: This statement is incorrect.

A platelet count below 10,000/uL is extremely low and indicates severe thrombocytopenia.

It is not within the normal range.

Choice D rationale:

"A platelet count above 1,000,000/uL is typical in healthy individuals." Rationale: This statement is incorrect.

A platelet count above 1,000,000/uL is considered abnormally high and can lead to an increased risk of clot formation, which is not typical in healthy individuals.

The normal range is much lower.

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Correct Answer is C

Explanation

Choice A rationale:

Schistocytes suggest normal platelet function.

Rationale: This statement is incorrect.

Schistocytes are not related to platelet function.

Schistocytes are fragmented red blood cells, and their presence on a peripheral blood smear suggests mechanical damage to red blood cells, not platelets.

Choice B rationale:

Schistocytes are associated with thrombocytosis.

Rationale: This statement is incorrect.

Schistocytes are not associated with thrombocytosis, which is an elevated platelet count.

They are more commonly associated with conditions involving red blood cell fragmentation, such as hemolysis or microangiopathy.

Choice C rationale:

Schistocytes indicate hemolysis or microangiopathy.

Rationale: This statement is correct.

Schistocytes are fragmented red blood cells, and their presence on a peripheral blood smear is indicative of hemolysis (destruction of red blood cells) or microangiopathy (damage to small blood vessels)

This finding suggests that the patient may have an underlying condition leading to red blood cell destruction, which can be associated with thrombocytopenia.

Choice D rationale:

Schistocytes confirm the absence of bleeding risk.

Rationale: This statement is incorrect.

Schistocytes do not confirm the absence of bleeding risk.

While they are associated with conditions involving red blood cell damage, they do not provide information about the patient's platelet count, which is a more direct factor in bleeding risk.

A. Encourage the patient to consume NSAIDs for pain relief. B. Teach the patient to avoid alcohol and aspirin. C. Suggest regular injections to stimulate platelet production. D. Advise the patient to skip monitoring platelet counts.

Correct Answer is B

Explanation

Choice A rationale:

Encourage the patient to consume NSAIDs for pain relief.

Encouraging the use of NSAIDs for pain relief is not appropriate for patients with thrombocytopenia.

NSAIDs can further increase the risk of bleeding due to their antiplatelet effects.

Therefore, it is crucial to educate patients to avoid NSAIDs.

Choice B rationale:

Teach the patient to avoid alcohol and aspirin.

This is a crucial part of patient education for those with thrombocytopenia.

Alcohol and aspirin can both increase the risk of bleeding, so advising patients to avoid them is essential to minimize bleeding risks.

Choice C rationale:

Suggest regular injections to stimulate platelet production.

While there are treatments available to stimulate platelet production, they are typically prescribed by a healthcare provider based on the patient's specific diagnosis and medical needs.

Suggesting regular injections without medical guidance is not appropriate.

Choice D rationale:

Advise the patient to skip monitoring platelet counts.

Regular monitoring of platelet counts is essential for patients with thrombocytopenia to assess the effectiveness of treatment and identify any potential complications.

Advising the patient to skip monitoring is not appropriate and may lead to undetected issues.

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

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Naxlex Comprehensive Predictor Exams

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