When assessing a client with primary thrombocytopenia, the nurse finds which of the following consistent with the diagnosis?
1. Pallor
2. Jaundice
3. Generalized erythema
4. Petechiae and purpura
4
Rationale: Classic symptoms of thrombocytopenia are petechiae and purpura caused by rupture of tiny capillaries with bleeding into the tissues. The other symptoms are not generally associated with thrombocytopenia.
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A nurse who is assigned to the ambulatory pediatric outpatient health care center is asked to assess a family for protective factors. These include: (Select all that apply.)
1. Financial resources of the families. 2. Family stressors. 3. Knowledge of infant care needs. 4. Support from family and friends. 5. Mother's nutritional state during pregnancy.
Bone fractures are a serious risk to the elderly. Which of the following is a contributing factor?
A) Diminished calcium absorption B) Shortening of the long bones C) Formation of points and spurs D) Deterioration of cartilage surfaces
After morning report, the RN held a mini conference with a team member, a licensed nurses' aide, and assigned the following duties: bathe and make beds for all your assigned patients, answer lights, ambulate all those ambulatory and turn
nonambulatory patients every 2 hours, and report complaints or needs of the patients to the RN. Periodically during the day the RN checked with the aide to determine whether the aide was having difficulty in completing the tasks. The RN was frequently in patient rooms observing and performing their own duties. What is this an example of? A) Improper delegation B) Not trusting an employee C) Effective delegation D) Micromanagement
The nurse is planning care for several pregnant patients. Which patient is at the greatest risk for nutritional deficiency while pregnant?
A) Patient who rarely eats fruit B) Patient with a 1-year-old son C) Patient with 10-year-old twins D) Patient who never follows a weight-reduction diet