Which nursing diagnosis should the nurse identify as being the most appropriate for a child with idiopathic thrombocytopenic purpura?
A) Risk for infection related to abnormal immune system
B) Risk for bleeding related to insufficient platelet formation
C) Risk for altered urinary elimination related to kidney impairment
D) Ineffective breathing pattern related to decreased white blood count
B
Feedback:
Idiopathic thrombocytopenic purpura (ITP) is the result of a decrease in the number of circulating platelets in the presence of adequate megakaryocytes, which are precursors to platelets. Because bleeding can occur with this disease process, the diagnosis most appropriate for the patient at this time is risk for bleeding related to insufficient platelet formation. Reduced numbers of platelets would not increase the patient's risk for infection. Reduced numbers of platelets does not increase the patient's risk for renal impairment. Reduced risk of platelets will not lead to an ineffective breathing pattern.
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