Clinical manifestations of ITP include which of the following? (Select all that apply.)

a. Gingival bleeding
b. Retinal hemorrhage
c. Fluid retention
d. Muscle cramps
e. Petechial hemorrhages on legs


A, B, E
Signs and symptoms of ITP include the following. Integumentary: Petechial hemorrhage of lower extremities, ecchymoses, gingival bleeding, and spontaneous epistaxis. Neurologic: Sudden, severe headache; nausea and vomiting; seizures; focal neurologic deficits; and decreased level of consciousness. Renal: Hematuria. Gastrointestinal: Hematemesis, melena, and hematochezia. Other: Heavy menses in women and retinal hemorrhage. Laboratory: Decreased platelet count, often below 30,000 mm3.

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A nurse is using the HBM when developing health programs in the community. Which of the following is the nurse most likely involved in?

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