(Select all that apply): A nurse is assessing a patient with thrombocytopenia.
Which interventions are appropriate for this patient? Select all that apply.

Administer platelet transfusion.

Encourage high-intensity physical activity.

Monitor for signs of bleeding.

Administer heparin therapy.

Educate the patient on infection prevention.

Answer and Explanation

Correct Answer : A,C,E

Choice A rationale:

"Administer platelet transfusion." Rationale: This is an appropriate intervention for a patient with thrombocytopenia, especially if they are experiencing severe bleeding or have a very low platelet count.

Platelet transfusion can help increase the platelet count and prevent or stop bleeding.

Choice B rationale:

"Encourage high-intensity physical activity." Rationale: This intervention is not appropriate for a patient with thrombocytopenia.

High-intensity physical activity can increase the risk of bleeding in these patients due to the low platelet count.

Choice C rationale:

"Monitor for signs of bleeding." Rationale: This is an essential intervention for a patient with thrombocytopenia.

Monitoring for signs of bleeding, such as petechiae, ecchymosis, or mucosal bleeding, allows for early detection and intervention.

Choice D rationale:

"Administer heparin therapy." Rationale: This intervention is not appropriate for a patient with thrombocytopenia, especially if the thrombocytopenia is immune-mediated, as heparin can exacerbate the condition.

Choice E rationale:

"Educate the patient on infection prevention." Rationale: This is an appropriate intervention for a patient with thrombocytopenia.

Patients with low platelet counts are at increased risk of infection, so education on infection prevention measures, such as hand hygiene and avoiding sick individuals, is essential.

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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.

A. "Increased platelet production due to chemotherapy.” B. "Immune-mediated platelet destruction caused by chemotherapy.” C. "Thrombocytopenia in this case is unrelated to chemotherapy.” D. "Thrombocytopenia results from the inhibition of platelet aggregation by chemotherapy.”

Correct Answer is B

Explanation

Choice A rationale:

"Increased platelet production due to chemotherapy." Rationale: This statement is not accurate.

Chemotherapy often suppresses bone marrow function, leading to a decrease in platelet production, not an increase.

Thrombocytopenia is a common side effect of chemotherapy due to reduced platelet production.

Choice B rationale:

"Immune-mediated platelet destruction caused by chemotherapy." Rationale: This statement is correct.

Thrombocytopenia in patients undergoing chemotherapy is often due to immune-mediated platelet destruction.

Chemotherapy can trigger an autoimmune response, leading to the destruction of platelets by the immune system.

Choice C rationale:

"Thrombocytopenia in this case is unrelated to chemotherapy." Rationale: This statement is unlikely to be true.

Thrombocytopenia occurring in a patient following chemotherapy is often directly related to the treatment.

While other factors may contribute, chemotherapy is a known cause of decreased platelet counts.

Choice D rationale:

"Thrombocytopenia results from the inhibition of platelet aggregation by chemotherapy." Rationale: This statement is not accurate.

Chemotherapy primarily affects platelet production and can lead to a decrease in platelet count.

It does not typically inhibit platelet aggregation.

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(Select all that apply): A nurse is assessing a patient with thrombocytopenia.Which interventions are appropriate for this patient? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A client has developed thrombocytopenia following chemotherapy.What is the likely cause of thrombocytopenia in this patient?

Correct Answer is B

Explanation

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A nurse is conducting a physical examination of a patient suspected of having thrombocytopenia. What assessment findings should the nurse prioritize to identify potential causes and types of thrombocytopenia?

(Select all that apply):A nurse is providing care to a patient with thrombocytopenia.Which nursing interventions are appropriate for this patient? Select all that apply.

(Select all that apply): A nurse is assessing a patient with thrombocytopenia.Which interventions are appropriate for this patient? Select all that apply.

(Select all that apply): A nurse is assessing a patient with thrombocytopenia.
Which interventions are appropriate for this patient? Select all that apply.