A 30-year-old presents with hematuria, menorrhagia, and bleeding gums, and is diagnosed with immune thrombocytic purpura (ITP). A nurse realizes the most likely cause is:
a. allergy-induced platelet lysis.
b. an immune response to hypersplenism.
c. antibody destruction of platelets.
d. T-cell injury to megakaryocytes.
ANS: C
The majority of cases of ITP are due to immune-driven destruction of platelets. It is not due to allergies, hypersplenism, or T-cell injury.
You might also like to view...
A 6-year-old boy is hospitalized for intravenous antibiotic therapy. He eats very little on his "regular diet" trays. He tells the nurse that all he wants to eat is pizza, tacos, and ice cream. What nursing action is the most appropriate?
a. Request these favorite foods for him. b. Identify healthier food choices that he likes. c. Explain that he needs fruits and vegetables. d. Reward him with ice cream at the end of every meal that he eats.
A parent asks the school nurse to explain there children usually feel growing pains. The nurse explains that the discomfort is usually in the:
a. toes, feet, and ankles c. hip and pelvis b. knees, calves, and thigh d. fingers, wrists, and elbows
A nurse is assessing a teenage client who had an accident in a car race. The client's father reveals that the client has also started drinking and using drugs. The nurse can best categorize the client in which developmental phase?
A) Cognitive development B) Middle adolescence C) Psychosocial development D) Late adolescence
A resident has slid down in the wheelchair. The person can follow directions and assist with repositioning. Which action is unsafe?
a. You lock the wheelchair wheels. b. You position the person's feet flat on the floor. c. You apply a transfer belt. d. You stand behind the wheelchair.