A 4-year-old female patient who is accompanied by her mother presents with bruising and petechiae all over her legs and trunk. The diagnosis is immune thrombocytopenia purpura (ITP). The mother asks about the cause of the bruising
What is the nurse's best response to this question?
A) "Don't worry. She probably just fell on the playground."
B) "She is presenting with thrombocytopenia due to an acute episode of platelet consumption. What medications is your child taking and has she recently received a platelet transfusion?"
C) "It's OK. This disease frequently is accompanied by bruising."
D) "The bruises indicate a problem with white blood cells."
C
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An experienced ICU nurse manager is orienting a newly hired nurse manager to the organization. The ICU manager makes occasional notes in a small notebook. The new manager asks why the ICU manager is taking notes
What are the most likely rationales for this behavior? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "It saves me time in the long run," 2. "Taking notes helps me to address issues immediately so they do not escalate." 3. "Although this looks time consuming, it is just how I learned to manage." 4. "It helps me to remember what to address in staff meetings." 5. "Having notes helps protect me when evaluations are written."
420 minims = _____ fluid drams
a. 3 1/2 b. 7 c. 105 d. 28
The physician orders an 1,800-calorie diabetic diet and 40 units of (Humulin N) insulin U-100 subcutaneously daily for a patient with diabetes mellitus. A mid-afternoon snack of milk and crackers is given to
a. improve nutrition. b. improve carbohydrate metabolism. c. prevent an insulin reaction. d. prevent diabetic coma.
A woman with moderate migraine headaches asks a nurse why the provider has ordered metoclopramide [Reglan] as an adjunct to aspirin therapy, because she does not usually expe-rience nausea and vomiting with her migraines
The nurse will tell her that the metoclopramide is used to: a. help induce sleep. b. improve absorption of the aspirin. c. prevent gastric irritation caused by the aspirin. d. prolong the effects of the aspirin.