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A nurse is caring for a patient diagnosed with thrombocytopenia.
What should the nurse include in the patient education regarding self-care measures?

Encourage the patient to consume NSAIDs for pain relief.

Teach the patient to avoid alcohol and aspirin.

Suggest regular injections to stimulate platelet production.

Advise the patient to skip monitoring platelet counts.

Answer and Explanation

The Correct Answer is B

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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Correct Answer is ["B","C","D"]

Explanation

Confusion.

C. Swelling of affected limbs.

D. Blood in stool (hematochezia)

Choice A rationale:

Fever.

Rationale: Fever is not typically associated with thrombocytopenia itself.

Thrombocytopenia primarily affects the platelet count and can result in bleeding symptoms, but fever is not a direct symptom of thrombocytopenia.

Choice B rationale:

Confusion.

Rationale: Confusion can be a symptom of thrombocytopenia, especially if bleeding occurs in the brain, leading to neurological symptoms.

Thrombocytopenia can cause intracranial bleeding, which may result in confusion and altered mental status.

Choice C rationale:

Swelling of affected limbs.

Rationale: Swelling of affected limbs is not a common symptom of thrombocytopenia.

Thrombocytopenia primarily leads to bleeding symptoms, such as easy bruising, petechiae, or hematomas, rather than swelling.

Choice D rationale:

Blood in stool (hematochezia)

Rationale: Blood in stool (hematochezia) is a potential symptom of thrombocytopenia.

When platelet counts are low, it can lead to gastrointestinal bleeding, which may manifest as blood in the stool.

Choice E rationale:

Elevated liver function tests (ALT and AST)

Rationale: Elevated liver function tests (ALT and AST) are not typically associated with thrombocytopenia.

Thrombocytopenia is primarily related to platelet counts, while elevated liver function tests suggest liver dysfunction, which may have different causes.

A. "A platelet count below 100,000/uL is considered normal.” B. "A platelet count below 50,000/uL can result in prolonged bleeding.” C. "Platelet count has no impact on bleeding risk.” D. "Bleeding risk increases with a platelet count above 150,000/uL.”

Correct Answer is B

Explanation

Choice A rationale:

"A platelet count below 100,000/uL is considered normal." Rationale: This statement is incorrect.

A normal platelet count typically ranges between 150,000 and 450,000/uL.

A platelet count below 100,000/uL is not considered normal and may indicate thrombocytopenia or another underlying issue.

Choice B rationale:

"A platelet count below 50,000/uL can result in prolonged bleeding." Rationale: This statement is correct.

Platelets are essential for normal blood clotting, and a platelet count below 50,000/uL can lead to an increased risk of bleeding, especially after minor trauma.

Severe bleeding risk typically occurs when the platelet count drops below 20,000/uL.

Choice C rationale:

"Platelet count has no impact on bleeding risk." Rationale: This statement is incorrect.

Platelet count directly affects bleeding risk.

A lower platelet count increases the risk of bleeding, while a higher count can lead to an increased risk of clot formation (thrombosis)

Choice D rationale:

"Bleeding risk increases with a platelet count above 150,000/uL." Rationale: This statement is incorrect.

A platelet count above 150,000/uL is within the normal range and does not increase the risk of bleeding.

Instead, it may increase the risk of thrombosis (excessive clotting)

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A nurse is caring for a patient diagnosed with thrombocytopenia. What should the nurse include in the patient education regarding self-care measures?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

(Select all that apply):A nurse is assessing a patient with suspected thrombocytopenia.Which findings should the nurse consider as potential signs or symptoms of thrombocytopenia? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

A client with thrombocytopenia experiences prolonged bleeding even after minor trauma.What statement by the nurse accurately explains the relationship between platelet count and bleeding risk?

Correct Answer is B

Explanation

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A nurse is caring for a patient diagnosed with thrombocytopenia.
What should the nurse include in the patient education regarding self-care measures?