Which of these lab results would the nurse expect in a client who has idiopathic thrombocytopenia purpura?
a. normal complete blood count (CBC)
b. decreased hemoglobin and hematocrit counts
c. elevated level of white blood cells (WBCs) and low level of platelets
d. a low platelet level
D
Idiopathic thrombocytopenic purpura is a blood disorder associated with a deficit of platelets. Bruising and petechiae are common. The nurse should observe the client for bleeding, epitaxis, hematuria, blood in stools, and level of consciousness resulting from a decreased platelet level. The nurse should advise caregivers that the child should not participate in sports.
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Which statement about carcinogenesis is accurate?
a. An initiated cell will always become clinical cancer. b. Cancer becomes a health problem once it is 1 cm in size. c. Normal hormones and proteins do not promote cancer growth. d. Tumor cells need to develop their own blood supply.
Which of the following symptoms exhibited by a patient taking quinidine indicate toxicity? (Select all that apply.)
1. Headache and lightheadedness 2. Fever and vertigo 3. Tinnitus, nausea, and vomiting 4. Hypoglycemia and arthralgia
A preschooler, receiving home oxygen therapy, is excited about an upcoming birthday. Which statement by the patient's mother indicates that additional teaching on the safety of home oxygen therapy is needed for the occasion?
A) "I'll be careful that no guest smokes.". B) "I'll be certain he doesn't get too tired.". C) "His brother can help him open presents.". D) "I'm baking a cake and we'll have candles.".
The client at 20 weeks' gestation has had an ultrasound that reveals that her fetus has a neural tube defect. The client's hemoglobin level is 8.5 . The nurse should include which statement when discussing these findings with the client?
A. "Your low iron intake has caused anemia, which leads to the neural tube defect." B. "You should increase your vitamin C intake to improve your anemia." C. "You are too picky about food. Your poor diet caused your baby's defect." D. "You haven't had enough folic acid in your diet. You should take a supplement."