During a home visit, the nurse becomes concerned that a child is developing idiopathic thrombocytopenic purpura (ITP). Which health problems could have precipitated the development of this disorder in the child? (Select all that apply.)
a. HIV
b. Rubella
c. Hepatitis C
d. Chickenpox
e. Cystic fibrosis
ANS: A, B, C, D
Acute ITP usually affects children between ages 2 and 6 and usually occurs after an acute viral illness such as rubella or chickenpox. Hepatitis C virus and human immunodeficiency virus (HIV) can also be triggers. E. ITP is not associated with cystic fibrosis.
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The nurse is working with a group of caregivers of adolescents who have abused substances. One of the caregivers states, “My son used to do great in school. However, since he started using drugs he has no motivation, he is never on time, and he makes the worst decisions, especially when he is driving.” These behaviors indicate that this adolescent was likely using which substance?
The nurse is caring for a client with rheumatoid arthritis who suffers with chronic pain in the hands. When would be the best time for the nurse to perform range-of-motion exercises?
A) First thing in the morning when the client wakes B) After cool compresses have been applied to the hands C) After the client has had a warm paraffin hand bath D) After the client has a diagnostic test
After a radiation exposure, a patient has been assessed and determined to be a possible survivor. Following the resolution of the patient's initial symptoms, the care team should anticipate what event?
A) A return to full health B) Internal bleeding C) A latent phase D) Massive tissue necrosis
What does a paradigm provide to a discipline?
A) Way to organize perceptions B) Method for analysis of disciplinary actions C) Scientific basis for all activities D) Link to the philosophical realm of the discipline