Which is the priority nursing diagnosis for the child diagnosed with idiopathic thrombocytopenic purpura (ITP)?
1. Ineffective Breathing Pattern
2. Nausea
3. Fluid Volume Deficit
4. Risk for Injury
4
Explanation:
1. Although in an advanced state thrombocytopenic purpura can impact breathing, it does not usually cause ineffective breathing patterns.
2. Nausea is not a symptom of ITP.
3. Fluid-volume deficits are not likely to occur with ITP.
4. ITP is the most common bleeding disorder in children, so risk for injury and subsequent bleeding is the priority nursing diagnosis.
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