The nurse is caring for a child with a low platelet count. What skin assessments would alert the nurse to bleeding? (Select all that apply.)
Lymphadenopathy
Purpura
Ecchymosis
Hematoma
Petechiae
Correct Answer : B,C,D,E
A. Lymphadenopathy: Refers to enlarged lymph nodes, commonly due to infection or malignancy, not bleeding.
B. Purpura: Purplish discolorations caused by bleeding under the skin; commonly seen with thrombocytopenia.
C. Ecchymosis: Bruising resulting from bleeding under the skin.
D. Hematoma: Collection of blood outside blood vessels, often due to trauma and platelet dysfunction.
E. Petechiae: Tiny pinpoint hemorrhages under the skin, common in low platelet counts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Supine: This position can impair lung expansion and increase risk of aspiration or atelectasis.
B. Side-lying: May improve comfort but does not optimize bilateral lung expansion.
C. Upright: An upright or semi-Fowler's position maximizes chest expansion and oxygenation-the most effective for respiratory distress.
D. Prone: Prone may be used in ICU settings for ARDS but is not first-line for general respiratory distress in children.
Correct Answer is D
Explanation
A. Oxygen therapy: Oxygen therapy may be used during acute complications but is not the mainstay of treatment.
B. A diet high in iron: Iron overload is already a complication of repeated transfusions; high iron intake is contraindicated.
C. Bed rest until the sedimentation rate is normal: Bed rest is not a specific treatment for thalassemia and ESR is not a key indicator for this condition.
D. Multiple blood transfusions: Frequent transfusions are the primary treatment for thalassemia major to maintain normal hemoglobin levels and suppress ineffective erythropoiesis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.