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