Knowing that thrombotic thrombocytopenic purpura (TTP) results in thrombi in the microcirculation system, the health care worker should assess the client for which of the following manifestations? Select all that apply
A) Red/purple skin discoloration that does not blanch when pressure is applied (purpura)
B) Jaundice noted on skin and sclera of the eyes
C) Petechiae over the entire body
D) Erythema around all orifices
E) Confusion or seizures caused by decreased circulation to the brain from vascular occlusion
Ans: A, C, E
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The clinical manifestations of TTP include purpura, petechiae, vaginal bleeding, and neurologic symptoms ranging from headache to seizures and altered consciousness.
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