A nurse is planning care for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following manifestations is most appropriate for the nurse to monitor?

Elevated WBC

Fever

Fatigue

Ecchymosis

Answer and Explanation

The Correct Answer is D

A. Elevated WBC is not typically associated with ITP, which primarily affects platelet counts.
B. Fever may indicate infection but is not specific to ITP.
C. Fatigue can occur in clients with ITP due to anemia or chronic illness but is not specific to the condition.
D. Ecchymosis (bruising) is a hallmark manifestation of ITP due to low platelet counts and increased bleeding tendencies.

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Correct Answer is C

Explanation

A. Tremor is not a common adverse effect of atenolol.
B. Constipation is not typically associated with atenolol.
C. Bradycardia (slow heart rate) is a known adverse effect of atenolol, a beta-blocker that can decrease heart rate and blood pressure.
D. Cough is more commonly associated with ACE inhibitors, not beta-blockers like atenolol.

A. "You need to let your provider know your wishes after the procedure." B. "This is a minor procedure; there is no need for this request." C. "You need to discuss your request with the hospital chaplain." D. "Your provider needs to talk with you concerning your request."

Correct Answer is D

Explanation

A. Waiting until after the procedure to inform the provider is not appropriate for discussing end-of-life wishes.
B. The seriousness of the procedure does not determine the necessity of a DNR request; it's the client's right to express this choice.
C. While spiritual support can be helpful, discussing DNR orders typically involves the healthcare team and the client directly.
D. The provider should directly discuss the client's wishes regarding a DNR order to ensure understanding and documentation.

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A nurse is planning care for a client who has idiopathic thrombocytopenic purpura (ITP). Which of the following manifestations is most appropriate for the nurse to monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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