A patient, being treated for thrombocytopenia, is not responding to therapy. The nurse realizes that which of the following might be indicated for this patient?
1. bone marrow transplant
2. blood transfusion
3. intravenous fluids
4. splenectomy
4
Rationale: Treatment for thrombocytopenia includes steroids, immune anti-D antibody infusion, and intravenous immune globulin. If unresponsive to therapy, a splenectomy is indicated. Bone marrow transplant and blood transfusions are not included as a course of treatment for a patient with thrombocytopenia. The patient will most likely already be receiving intravenous fluids as a part of cardiovascular fluid volume support.
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A nursing student studying the auditory system learns about the structures of the inner ear. What structures does this include? (Select all that apply.)
a. Cochlea b. Epitympanum c. Organ of Corti d. Semicircular canals e. Vestibule
Depending on the patient's risk for the recurrence of PE, a patient may be placed on warfarin for
a. 1 to 3 months. c. 3 to 12 months. b. 3 to 6 months. d. 12 to 36 months.
It is important for the nurse to be familiar with standardized guidelines developed by agencies such as the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) because they
a. express opinions about issues that affect all nurses b. provide a basis for salary administration within institutions c. protect against negative client outcomes while reducing costs d. establish national benchmarks to improve overall health
The client, a teenage girl, asks the school nurse why she is getting frequent urinary tract infections
The nurse concludes that the nursing diagnosis for this client is knowledge deficit based on the client response to which of the following questions? 1. "How often do you shower?" 2. "Do you have a family history of urinary problems?" 3. "Do you take bubble baths?" 4. "In what direction do you wipe after a bowel movement?"