Immune thrombocytopenia purport.

Immune thrombocytopenia purport.

1. The nurse cares for a toddler diagnosed with immune thrombocytopenia purport. The child’s platelet count is 52,000/mm (52 x 10). The nurse prepares a care plan for the child. Which nursing diagnosis is most appropriate for this child?
2. Fatigue related to elevated platelet count.
3. Risk for injury related to low platelet count.
4. Risk for activity intolerance related to need for rest.
5. Impaired Physical mobility related to need for physical therapy.

2. The client takes heparin 12, 000 units daily by subcutaneous injection. Today’s aPTT level is  45 seconds. Which action does the nurse take first?

1. Nothing as this is a normal a PTT level
2. Notifies the health care provider to decrease the dosage.
3. Changes the route from subcutaneous to intramuscular.
4. Notifies the health care provider to increase the dosage.

3. The client is the single parent of the 2 week old baby, the firstborn child. The client had considered terminating the pregnancy but continued the pregnancy. There is little client family support. The client has a history of an editing disorder. The nurse knows which nursing diagnosis is most important for the client?

1. Risk for impaired attachment related to lack of knowledge of child care.
2. Situational Low Self-Esteem related to body changes of childbirth.
3. Risk for ineffective coping related to postpartum depression.
4. Disturbed sleep Pattern related to care of infant at night.