The nurse is caring for a patient who is being treated for idiopathic thrombocytopenic purpura (ITP). Which treatment will the nurse administer as part of this patient's management?

Platelets

Plasma albumin

Intravenous immunoglobulin (IVIG)

Factor D

Answer and Explanation

The Correct Answer is C

Choice A reason: Platelet transfusions are typically reserved for patients with severe bleeding or extremely low platelet counts. They are not a standard treatment for managing ITP unless there is significant bleeding.

Choice B reason: Plasma albumin is not a treatment for ITP. It is used for other conditions such as hypovolemia and hypoalbuminemia but does not address the underlying immune-mediated destruction of platelets in ITP.

Choice C reason: Intravenous immunoglobulin (IVIG) is a treatment for ITP that helps increase platelet counts by modulating the immune system. It is often used in acute settings to manage severe thrombocytopenia and bleeding.

Choice D reason: Factor D is not related to the treatment of ITP. It is involved in the complement system, which is part of the immune response but does not directly address the platelet destruction seen in ITP.

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Correct Answer is B

Explanation

Choice A reason: Lethargy and hypoxia are not typically associated with respiratory alkalosis. Respiratory alkalosis occurs when there is excessive exhalation of carbon dioxide, leading to a decrease in blood CO2 levels and an increase in pH. Lethargy and hypoxia are more often related to respiratory acidosis, where CO2 accumulates due to hypoventilation.

Choice B reason: Light-headedness and muscle spasms are common clinical manifestations of respiratory alkalosis. The decrease in carbon dioxide (CO2) levels leads to cerebral vasoconstriction, resulting in light-headedness or dizziness. Additionally, respiratory alkalosis can cause a shift of calcium in the blood, leading to muscle spasms, tingling, and even tetany.

Choice C reason: Hypotension and respiratory depression are not typical findings in respiratory alkalosis. Hypotension can be a symptom of various conditions but is not directly associated with respiratory alkalosis. Respiratory depression is related to hypoventilation and respiratory acidosis, not hyperventilation.

Choice D reason: Muscle twitching and hyperkalaemia are not manifestations of respiratory alkalosis. Hyperkalaemia is more commonly seen in metabolic acidosis and not in respiratory alkalosis. Muscle twitching can occur in various conditions, but respiratory alkalosis typically causes muscle spasms and tetany due to calcium shifts.

A. Administer a rapid infusion of fluids. B. Increase the dialysis flow rate. C. Decrease the rate of dialysis. D. Apply ice packs to the patient's head. E. Monitor neurological status closely.

Correct Answer is ["C"]

Explanation

Choice A reason: Administering a rapid infusion of fluids is not appropriate for disequilibrium syndrome. This syndrome results from rapid changes in fluid and electrolyte balance during dialysis, and rapid fluid infusion could worsen the condition.

Choice B reason: Increasing the dialysis flow rate is not appropriate. Decreasing the rate of dialysis can help reduce the symptoms of disequilibrium syndrome by allowing the body to adjust more gradually.

Choice C reason: Decreasing the rate of dialysis helps to minimize the rapid shifts in fluid and electrolytes, which can exacerbate disequilibrium syndrome.

Choice D reason: Applying ice packs to the patient's head is not a standard intervention for disequilibrium syndrome. The focus should be on managing the rate of dialysis and monitoring the patient's neurological status.

Choice E reason: Monitoring neurological status closely is important because disequilibrium syndrome can cause symptoms such as headache, nausea, confusion, and seizures. Close monitoring allows for prompt intervention if symptoms worsen.

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The nurse is caring for a patient who is being treated for idiopathic thrombocytopenic purpura (ITP). Which treatment will the nurse administer as part of this patient's management?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with respiratory alkalosis. Which clinical manifestations will the nurse expect to find?

Correct Answer is B

Explanation

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Correct Answer is ["C"]

Explanation

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