Care for the child with acute idiopathic thrombocytopenic purpura (ITP) includes which therapeutic intervention?
a. Splenectomy
b. Intravenous administration of anti-D antibody
c. Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
d. Helping child participate in sports
ANS: B
Anti-D antibody causes an increase in platelet count approximately 48 hours after administration. Splenectomy is reserved for chronic severe ITP not responsive to pharmacologic management. NSAIDs are not used in ITP. Both NSAIDs and aspirin interfere with platelet aggregation. The nurse works with the child and parents to choose quiet activities while the platelet count is below 100,000/mm3.
You might also like to view...
The original team of grounded theory researchers included Glaser and Corbin
A) True B) False
Which structures of the middle ear are involved in movement of the ossicles?
a. vestibule and stapedius c. stapedius and eustachian tube b. tensor tympani and stapedius d. eustachian tube and tensor tympani
The nurse is reviewing the contents of a nutritional supplement that a 32-year-old female patient takes each day. Which minerals in this supplement adhere to the recommended daily intake amounts?
Select all that apply. 1. iron 8 mg 2. zinc 8 mg 3. calcium 1000 mg 4. phosphorus 700 mg 5. magnesium 420 mg
The nurse is caring for an infant with congestive heart disease (CHD). The nurse should plan which intervention to decrease cardiac demands?
a. Organize nursing activities to allow for uninterrupted sleep. b. Allow the infant to sleep through feedings during the night. c. Wait for the infant to cry to show definite signs of hunger. d. Discourage parents from rocking the infant