Question

Which clients would be at risk for developing nonthrombocytopenic purpura? Select all that apply.

	A.	Child adopted from India and displaying malaise, lethargy, and petechiae all over the body associated with suspected scurvy.
	B.	73-year-old client admitted with concussion that resulted from a fall
	C.	55-year-old client diagnosed with Cushing disease displaying bruises, weight gain with a buffalo hump, and "moon" face
	D.	15-year-old with insulin-dependent diabetes who has hypoglycemia and is displaying irritability with headaches and tachycardia
	E.	Pregnant mother experiencing headaches and proteinuria

Misinterpreting her physician's instructions, a 69-year-old woman with a history of peripheral artery disease has been taking two 325 mg tablets of aspirin daily. How has this most likely affected her hemostatic status?

		Irreversible acetylation of platelet cyclooxygenase activity has occurred.
		The client's prostaglandin TXA2 levels are abnormally high.
		She is at risk of developing secondary immune thrombocytopenic purpura (ITP).
		The binding of an antibody to platelet factor 4 produces immune complexes.

A client visited his health care provider after finding an enlarged lymph node along the mediastinal border. The health care provider may be alerted to a possible diagnosis of Hodgkin lymphoma (HL) based on the client having which other clinical manifestations? Select all that apply.

	A.	Yeast infection in the mouth
	B.	Night sweats
	C.	Unexplained pruritus
	D.	Joint swelling
	E.	Sore throat with pustules on tonsils.

The nurse is caring for a client who develops a paroxysmal supraventricular tachycardia. Which medications should the nurse prepare to administer? Select all that apply.

	A.	Adenosine
	B.	Diltiazem (Class IV)
	C.	Lidocaine (Class 1B)
	D.	Metoprolol (Class II)
	E.	Amiodarone (Class III)

You note eosinophilia on the client's laboratory results. You should interview the client about a history of which conditions? Select all that apply.

	A.	Asthma
	B.	Exposure to parasites
	C.	Allergic reactions
	D.	Viral infection
	E.	Bacterial infection

A surgeon is explaining to the parents of a 6-year-old boy the rationale for the suggestion of removing the boy's spleen. Which teaching point would be most accurate?

	A.	"We believe that your son's spleen is causing the destruction of many of his blood platelets, putting him at a bleeding risk."
	B.	"Your son's spleen is inappropriately destroying the platelets from his blood and needs to be removed."
	C.	"Your son's spleen is holding on to too many of his platelets so they're not available for clotting."
	D.	"We think that his spleen is inhibiting the production of platelets by his bone marrow."

A 78-year-old male client has undergone a total knee replacement. He just doesn't feel like getting out of bed and moving around. After 3 days of staying in bed, the physical therapist encourages him to get out of bed to the chair for meals. He starts to complain of dizziness and lightheadedness. These symptoms are primarily caused by which pathophysiologic principle? Select all that apply.

	A.	Client is experiencing a reduction in plasma volume.
	B.	Peripheral vasoconstriction mechanism has failed.
	C.	Client is so stressed that he is releasing too many endorphins.
	D.	Client is still bleeding from the surgical procedure.
	E.	Client has loss all of his muscle tone.

From the current health histories, which client(s) is at risk for developing secondary forms of immune thrombocytopenic purpura (ITP)? Select all that apply.

	A.	Female client in the first trimester reporting abdominal cramping
	B.	Middle-aged client scheduled for gastroscopy to confirm Helicobactor pylori
	C.	Former IV drug user recently diagnosed with hepatitis C virus
	D.	Older adult female undergoing testing for cause of joint discomfort
	E.	Adolescent admitted for facial burns when the "vape" (cigarette) exploded in the mouth

Answer 1

Ans1.

Option a and c is correct answer

Non- thrombocytopenia purpura is having a chance development of child having scurvy( low level of vitamin c) and 55 year client with Cushing disease ( due to hormonal disturbance)

Ans2.

Option a

Irreversible acetylcholine of platelet cyclooxygenase activity has occurred., Aspirin inhibits the cyclooxygenase and suppress the production of prostaglandin and thromboxanes.

Ans3

Option b , c, and e are correct answer.

Sore throat is due to infection in the, night sweat and puritis(due to cytokines) in lymphoma.

Ans4.

Option a,e and d is correct answer.

Have effective results on paroxysmal supraventricular tachycardia.

Ans5.

Option a, b and c

In allergies, asthma and parasite the eosinophilia that increase number of eosinophil in the peripheral blood.

Infections, allergies can increass the number of eosinophil or WBC count due to foreign body or pathogens

Ans6.

Option c is correct answer

Your son's spleen is holding on to many of his platelet so they are not available for clotting.

Ans7.

Option a and b correct answer.

Client is experiencing a reduction in plasma volume and peripheral vasoconstriction mechanisms has failed.

Ans8.

Option b and c have chances to develop immune thrombocytopenia purpura because as infection causes antibodies cross reaction with platelet leads to drop in platelet.

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