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Which findings would the nurse expect on assessment in a patient with thrombocytopenia

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250 questions, answers, and explanations are offered in this sample exam from the 2013 edition of NCLEX-RN Exam Cram.

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  • A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Body temperature of 99°F or less

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Toes moved in active range of motion

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Sensation reported when soles of feet are touched

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Capillary refill of < 3 seconds

    Quick Answer: 223

    Detailed Answer: 225

  • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Side-lying with knees flexed

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Knee-chest

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    High Fowler’s with knees flexed

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Semi-Fowler’s with legs extended on the bed

    Quick Answer: 223

    Detailed Answer: 225

  • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Taking hourly blood pressures with mechanical cuff

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Encouraging fluid intake of at least 200mL per hour

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Position in high Fowler’s with knee gatch raised

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Administering Tylenol as ordered

    Quick Answer: 223

    Detailed Answer: 225

  • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Steak

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Cottage cheese

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Popsicle

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Lima beans

    Quick Answer: 223

    Detailed Answer: 225

  • A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Adjust the room temperature

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Give a bolus of IV fluids

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Start O2

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Administer meperidine (Demerol) 75mg IV push

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Roast beef, gelatin salad, green beans, and peach pie

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Chicken salad sandwich, coleslaw, French fries, ice cream

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Pork chop, creamed potatoes, corn, and coconut cake

    Quick Answer: 223

    Detailed Answer: 225

  • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    A family vacation in the Rocky Mountains

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Chaperoning the local boys club on a snow-skiing trip

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Traveling by airplane for business trips

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    A bus trip to the Museum of Natural History

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Enlarged spleen

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Elevated blood pressure

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Bradycardia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Beefy tongue

    Quick Answer: 223

    Detailed Answer: 225

  • The body part that would most likely display jaundice in the dark-skinned individual is the:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Conjunctiva of the eye

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Soles of the feet

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Roof of the mouth

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Shins

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    BP 146/88

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Respirations 28 shallow

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Weight gain of 10 pounds in six months

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Pink complexion

    Quick Answer: 223

    Detailed Answer: 226

  • The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    “I will drink 500mL of fluid or less each day.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    “I will wear support hose.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    “I will check my blood pressure regularly.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    “I will report ankle edema.”

    Quick Answer: 223

    Detailed Answer: 226

  • A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The client collects stamps as a hobby.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The client recently lost his job as a postal worker.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The client had radiation for treatment of Hodgkin’s disease as a teenager.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The client’s brother had leukemia as a child.

    Quick Answer: 223

    Detailed Answer: 226

  • Where is the best site for examining for the presence of petechiae in an African American client?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The abdomen

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The thorax

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The earlobes

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The soles of the feet

    Quick Answer: 223

    Detailed Answer: 226

  • The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    “Have you noticed a change in sleeping habits recently?”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    “Have you had a respiratory infection in the last six months?”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    “Have you lost weight recently?”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    “Have you noticed changes in your alertness?”

    Quick Answer: 223

    Detailed Answer: 226

  • Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Oral mucous membrane, altered related to chemo-therapy

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Risk for injury related to thrombocytopenia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Fatigue related to the disease process

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Interrupted family processes related to life-threatening illness of a family member

    Quick Answer: 223

    Detailed Answer: 226

  • A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Sexual dysfunction related to radiation therapy

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Anticipatory grieving related to terminal illness

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Tissue integrity related to prolonged bed rest

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Fatigue related to chemotherapy

    Quick Answer: 223

    Detailed Answer: 226

  • A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Platelet count

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    White blood cell count

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Potassium levels

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Partial prothrombin time (PTT)

    Quick Answer: 223

    Detailed Answer: 226

  • The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80,000. It will be most important to teach the client and family about:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Bleeding precautions

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Prevention of falls

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Oxygen therapy

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Conservation of energy

    Quick Answer: 223

    Detailed Answer: 226

  • The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Place the client in Trendelenburg position for postural drainage.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Encourage coughing and deep breathing every two hours.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Elevate the head of the bed 30°.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Encourage the Valsalva maneuver for bowel movements.

    Quick Answer: 223

    Detailed Answer: 226

  • The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Measure the urinary output.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Check the vital signs.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Encourage increased fluid intake.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Weigh the client.

    Quick Answer: 223

    Detailed Answer: 227

  • A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Place the client in a sitting position.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Administer acetaminophen (Tylenol).

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Pinch the soft lower part of the nose.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Apply ice packs to the forehead.

    Quick Answer: 223

    Detailed Answer: 227

  • A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The blood pressure

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The temperature

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The urinary output

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The specific gravity of the urine

    Quick Answer: 223

    Detailed Answer: 227

  • A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Glucometer readings as ordered

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Intake/output measurements

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Evaluating the sodium and potassium levels

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Daily weights

    Quick Answer: 223

    Detailed Answer: 227

  • A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Obtain a crash cart.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Check the calcium level.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Assess the dressing for drainage.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Assess the blood pressure for hypertension.

    Quick Answer: 223

    Detailed Answer: 227

  • A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Impaired physical mobility related to decreased endurance

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Hypothermia r/t decreased metabolic rate

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Disturbed thought processes r/t interstitial edema

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Decreased cardiac output r/t bradycardia

    Quick Answer: 223

    Detailed Answer: 227

  • The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Report muscle weakness to the physician.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Allow six months for the drug to take effect.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Take the medication with fruit juice.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Report difficulty sleeping.

    Quick Answer: 223

    Detailed Answer: 227

  • The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Utilize an infusion pump.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Check the blood glucose level.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Place the client in Trendelenburg position.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Cover the solution with foil.

    Quick Answer: 223

    Detailed Answer: 227

  • The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Blood pressure of 126/80

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Blood glucose of 110mg/dL

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Heart rate of 60bpm

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Respiratory rate of 30 per minute

    Quick Answer: 223

    Detailed Answer: 227

  • The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Replenish his supply every three months.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Take one every 15 minutes if pain occurs.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Leave the medication in the brown bottle.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Crush the medication and take with water.

    Quick Answer: 223

    Detailed Answer: 228

  • The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Macaroni and cheese

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Shrimp with rice

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Turkey breast

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Spaghetti with meat sauce

    Quick Answer: 223

    Detailed Answer: 228

  • The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Feet

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Neck

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Hands

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Sacrum

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Phlebostatic axis

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    PMI

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Erb’s point

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Tail of Spence

    Quick Answer: 223

    Detailed Answer: 228

  • The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Question the order.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Administer the medications.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Administer separately.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Contact the pharmacy.

    Quick Answer: 223

    Detailed Answer: 228

  • The best method of evaluating the amount of peripheral edema is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Weighing the client daily

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Measuring the extremity

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Measuring the intake and output

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Checking for pitting

    Quick Answer: 223

    Detailed Answer: 228

  • A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Overnight stays by family members is against hospital policy.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    There is no need for him to stay because staffing is adequate.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    His wife will rest much better knowing that he is at home.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Visitation is limited to 30 minutes when the implant is in place.

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Roast beef sandwich, potato chips, pickle spear, iced tea

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Split pea soup, mashed potatoes, pudding, milk

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Tomato soup, cheese toast, Jello, coffee

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Hamburger, baked beans, fruit cup, iced tea

    Quick Answer: 223

    Detailed Answer: 228

  • The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 223

    Detailed Answer: 229

  • The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    New parents need time to learn how to hold the baby.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The umbilical cord needs time to separate.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Newborn skin is easily traumatized by washing.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The chance of chilling the baby outweighs the benefits of bathing.

    Quick Answer: 223

    Detailed Answer: 229

  • A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Treat iron-deficiency anemia caused by chemotherapeutic agents

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Create a synergistic effect that shortens treatment time

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Increase the number of circulating neutrophils

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Reverse drug toxicity and prevent tissue damage

    Quick Answer: 223

    Detailed Answer: 229

  • A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Hib titer

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Mumps vaccine

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Hepatitis B vaccine

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    MMR

    Quick Answer: 223

    Detailed Answer: 229

  • The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    30 minutes before a meal

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    With each meal

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    In a single dose at bedtime

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    30 minutes after meals

    Quick Answer: 223

    Detailed Answer: 229

  • A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Call security for assistance and prepare to sedate the client.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Tell the client to calm down and ask him if he would like to play cards.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Tell the client that if he continues his behavior he will be punished.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Leave the client alone until he calms down.

    Quick Answer: 223

    Detailed Answer: 229

  • When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Check the client for bladder distention.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Assess the blood pressure for hypotension.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Determine whether an oxytocic drug was given.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Check for the expulsion of small clots.

    Quick Answer: 223

    Detailed Answer: 229

  • A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Pneumonia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Reaction to antiviral medication

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Tuberculosis

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Superinfection due to low CD4 count

    Quick Answer: 223

    Detailed Answer: 229

  • The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Diabetes

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Prinzmetal’s angina

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Cancer

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Cluster headaches

    Quick Answer: 223

    Detailed Answer: 229

  • The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Pain on flexion of the hip and knee

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Nuchal rigidity on flexion of the neck

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Pain when the head is turned to the left side

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Dizziness when changing positions

    Quick Answer: 223

    Detailed Answer: 229

  • The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Agnosia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Apraxia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Anomia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Aphasia

    Quick Answer: 223

    Detailed Answer: 229

  • The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Chronic fatigue syndrome

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Normal aging

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Sundowning

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Delusions

    Quick Answer: 223

    Detailed Answer: 230

  • The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    “You know you had breakfast 30 minutes ago.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    “I’ll get you some juice and toast. Would you like something else?”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    “You will have to wait a while; lunch will be here in a little while.”

    Quick Answer: 223

    Detailed Answer: 230

  • The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Urinary incontinence

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Headaches

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Confusion

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Nausea

    Quick Answer: 223

    Detailed Answer: 230

  • A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Document the finding.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Report the finding to the doctor.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Prepare the client for a C-section.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Continue primary care as prescribed.

    Quick Answer: 223

    Detailed Answer: 230

  • A client with a diagnosis of HPV is at risk for which of the following?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Hodgkin’s lymphoma

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Cervical cancer

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Multiple myeloma

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Ovarian cancer

    Quick Answer: 223

    Detailed Answer: 230

  • During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Syphilis

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Herpes

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Gonorrhea

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Condylomata

    Quick Answer: 223

    Detailed Answer: 230

  • A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Venereal Disease Research Lab (VDRL)

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Rapid plasma reagin (RPR)

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Fluorescent treponemal antibody (FTA)

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Thayer-Martin culture (TMC)

    Quick Answer: 223

    Detailed Answer: 230

  • A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Elevated blood glucose

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Elevated platelet count

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Elevated creatinine clearance

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Elevated hepatic enzymes

    Quick Answer: 223

    Detailed Answer: 230

  • The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

    Quick Answer: 223

    Detailed Answer: 230

  • A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Magnesium sulfate 4gm (25%) IV

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Brethine 10mcg IV

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Stadol 1mg IV push every 4 hours as needed prn for pain

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Ancef 2gm IVPB every 6 hours

    Quick Answer: 223

    Detailed Answer: 230

  • A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The infant is at low risk for congenital anomalies.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The infant is at high risk for intrauterine growth retardation.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The infant is at high risk for respiratory distress syndrome.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The infant is at high risk for birth trauma.

    Quick Answer: 223

    Detailed Answer: 231

  • Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Crying

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Wakefulness

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Jitteriness

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Yawning

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Decreased urinary output

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Hypersomnolence

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Absence of knee jerk reflex

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Decreased respiratory rate

    Quick Answer: 223

    Detailed Answer: 231

  • The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Place her in Trendelenburg position.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Decrease the rate of IV infusion.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Administer oxygen per nasal cannula.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Increase the rate of the IV infusion.

    Quick Answer: 223

    Detailed Answer: 231

  • A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Alteration in nutrition

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Alteration in bowel elimination

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Alteration in skin integrity

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Ineffective individual coping

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Severe anemia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Arteriosclerosis

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Liver failure

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Parathyroid disorder

    Quick Answer: 223

    Detailed Answer: 231

  • The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Alteration in cerebral tissue perfusion

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Fluid volume deficit

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Ineffective airway clearance

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Alteration in sensory perception

    Quick Answer: 223

    Detailed Answer: 231

  • The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Likes to play football

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Drinks carbonated drinks

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Has two sisters

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Is taking acetaminophen for pain

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Allow the client to keep the fruit.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Place the fruit next to the bed for easy access by the client.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Offer to wash the fruit for the client.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Ask the family members to take the fruit home.

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse’s action should be to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Place the client in Trendelenburg position.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Increase the infusion of normal saline.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Administer atropine intravenously.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Move the emergency cart to the bedside.

    Quick Answer: 223

    Detailed Answer: 231

  • The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Order a chest x-ray.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Reinsert the tube.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Cover the insertion site with a Vaseline gauze.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Call the doctor.

    Quick Answer: 223

    Detailed Answer: 231

  • A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Assess for signs of abnormal bleeding.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Anticipate an increase in the Coumadin dosage.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Instruct the client regarding the drug therapy.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Increase the frequency of neurological assessments.

    Quick Answer: 223

    Detailed Answer: 231

  • Which selection would provide the most calcium for the client who is four months pregnant?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    A granola bar

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    A bran muffin

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    A cup of yogurt

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    A glass of fruit juice

    Quick Answer: 223

    Detailed Answer: 232

  • The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The nurse performs a vaginal exam every 30 minutes.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The nurse places a padded tongue blade at the bedside.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The nurse inserts a Foley catheter.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The nurse darkens the room.

    Quick Answer: 223

    Detailed Answer: 232

  • The best size cathlon for administration of a blood transfusion to a six-year-old is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    18 gauge

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    19 gauge

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    22 gauge

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    20 gauge

    Quick Answer: 223

    Detailed Answer: 232

  • A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Hypovolemia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Laryngeal edema

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Hypernatremia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Hyperkalemia

    Quick Answer: 223

    Detailed Answer: 232

  • The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The client selects a balanced diet from the menu.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The client can tell the nurse the normal blood glucose level.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The client asks for brochures on the subject of diabetes.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The client demonstrates correct insulin injection technique.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Pain at the site

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Warm fingers

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Pulses rapid

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Paresthesia of the fingers

    Quick Answer: 223

    Detailed Answer: 232

  • The client with AIDS should be taught to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Avoid warm climates.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Refrain from taking herbals.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Avoid exercising.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Report any changes in skin color.

    Quick Answer: 223

    Detailed Answer: 232

  • Which action by the healthcare worker indicates a need for further teaching?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The nursing assistant ambulates the elderly client using a gait belt.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The nurse wears goggles while performing a veno-puncture.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The nurse washes his hands after changing a dressing.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The nurse wears gloves to monitor the IV infusion rate.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT, the nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Apply a tourniquet to the client’s arm.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Administer an anticonvulsant medication.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Ask the client if he is allergic to shellfish.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Apply a blood pressure cuff to the arm.

    Quick Answer: 223

    Detailed Answer: 232

  • The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Rectal itching

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Nausea

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Oral ulcerations

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Scalp itching

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Treatment is not recommended for children less than 10 years of age.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Bed linens should be washed in hot water.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Medication therapy will continue for one year.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Intravenous antibiotic therapy will be ordered.

    Quick Answer: 223

    Detailed Answer: 232

  • The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The client with HIV

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The client with a radium implant for cervical cancer

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The client with RSV (respiratory synctial virus)

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The client with cytomegalovirus

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The client with methicillin resistant-staphylococcus aureas (MRSA)

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The client with diabetes

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The client with pancreatitis

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The client with Addison’s disease

    Quick Answer: 223

    Detailed Answer: 232

  • The doctor accidentally cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Negligence

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Tort

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Assault

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Malpractice

    Quick Answer: 223

    Detailed Answer: 233

  • Which assignment should not be performed by the nursing assistant?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Feeding the client

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Bathing the client

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Obtaining a stool

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Administering a fleet enema

    Quick Answer: 223

    Detailed Answer: 233

  • The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Tell the mother to wash the face with soap and apply powder.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Tell her that 30% of newborns have a rash that will go away by one month of life.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Report the rash to the doctor immediately.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Ask the mother if anyone else in the family has had a rash in the last six months.

    Quick Answer: 223

    Detailed Answer: 233

  • Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The LPN who is six months postpartum

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The RN who is pregnant

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The RN who is allergic to iodine

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The RN with a three-year-old at home

    Quick Answer: 223

    Detailed Answer: 233

  • Which information should be reported to the state Board of Nursing?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The facility fails to provide literature in both Spanish and English.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The narcotic count has been incorrect on the unit for the past three days.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The client fails to receive an itemized account of his bills and services received during his hospital stay.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Call the Board of Nursing.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    File a formal reprimand.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Terminate the nurse.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Charge the nurse with a tort.

    Quick Answer: 223

    Detailed Answer: 233

  • The home health nurse is planning for the day’s visits. Which client should be seen first?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The 78-year-old who had a gastrectomy three weeks ago and has a PEG tube

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

    Quick Answer: 223

    Detailed Answer: 233

  • The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    A client having auditory hallucinations and the client with ulcerative colitis

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The client who is pregnant and the client with a broken arm

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    A child who is cyanotic with severe dypsnea and a client with a frontal head injury

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The client who arrives with a large puncture wound to the abdomen and the client with chest pain

    Quick Answer: 223

    Detailed Answer: 233

  • Before administering eardrops to a toddler, the nurse should recognize that it is essential to consider which of the following?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The age of the child

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The child’s weight

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The developmental level of the child

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The IQ of the child

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    “It is okay to give my child white grape juice for breakfast.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    “My child can have a grilled cheese sandwich for lunch.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    “For a snack, my child can have ice cream.”

    Quick Answer: 223

    Detailed Answer: 233

  • A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The client is at risk for opportunistic diseases.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The client is no longer communicable.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The client’s viral load is extremely low so he is relatively free of circulating virus.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The client’s T-cell count is extremely low.

    Quick Answer: 223

    Detailed Answer: 233

  • The client has an order for sliding scale insulin at 1900 hours and Lantus insulin at the same hour. The nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Administer the two medications together.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Administer the medications in two injections.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Draw up the Lantus insulin and then the regular insulin and administer them together.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Contact the doctor because these medications should not be given to the same client.

    Quick Answer: 223

    Detailed Answer: 234

  • A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Altered nutrition

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Impaired communication

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Risk for injury/aspiration

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Altered urinary elimination

    Quick Answer: 223

    Detailed Answer: 234

  • What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Hypertension

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Lassitude

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Fatigue

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Vomiting and diarrhea

    Quick Answer: 223

    Detailed Answer: 234

  • Which action is contraindicated in the client with epiglottis?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Ambulation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Oral airway assessment using a tongue blade

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Placing a blood pressure cuff on the arm

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Checking the deep tendon reflexes.

    Quick Answer: 223

    Detailed Answer: 234

  • A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Slow pulse

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Anorexia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Bulging eyes

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Weight gain

    Quick Answer: 223

    Detailed Answer: 234

  • Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Whole-wheat toast

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Angel hair pasta

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Reuben on rye

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Rice cereal

    Quick Answer: 223

    Detailed Answer: 234

  • The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Elevate the head.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Recheck the O2 saturation in 30 minutes.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Apply oxygen by mask.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Assess the heart rate.

    Quick Answer: 223

    Detailed Answer: 234

  • Which observation would the nurse expect to make after an amniotomy?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Dark yellow amniotic fluid

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Clear amniotic fluid

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Greenish amniotic fluid

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Red amniotic fluid

    Quick Answer: 223

    Detailed Answer: 234

  • The client taking Glyburide (Diabeta) should be cautioned to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Avoid eating sweets.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Report changes in urinary pattern.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Allow three hours for onset.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Check the glucose daily.

    Quick Answer: 223

    Detailed Answer: 234

  • The obstetric client’s fetal heart rate is 80–90 during the contractions. The first action the nurse should take is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Reposition the monitor.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Turn the client to her left side.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Ask the client to ambulate.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Prepare the client for delivery.

    Quick Answer: 223

    Detailed Answer: 234

  • Arterial ulcers are best described as ulcers that:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Are smooth in texture

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Have irregular borders

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Are cool to touch

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Are painful to touch

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Anticipate the need for a Caesarean section.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Apply an internal fetal monitor.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Place the client in Genu Pectoral position.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Perform an ultrasound.

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The cervix is closed.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The membranes are still intact.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The fetal heart tones are within normal limits.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The contractions are intense enough for insertion of an internal monitor.

    Quick Answer: 223

    Detailed Answer: 234

  • The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Impaired gas exchange related to hyperventilation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Alteration in placental perfusion related to maternal position

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Impaired physical mobility related to fetal-monitoring equipment

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Potential fluid volume deficit related to decreased fluid intake

    Quick Answer: 223

    Detailed Answer: 235

  • As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The baby is sleeping.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The umbilical cord is compressed.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    There is head compression.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    There is uteroplacental insufficiency.

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Notify her doctor.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Start an IV.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Reposition the client.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Readjust the monitor.

    Quick Answer: 223

    Detailed Answer: 235

  • Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    A fetal heart rate of 120–130bpm

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    A baseline variability of 6–10bpm

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Accelerations in FHR with fetal movement

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    A recurrent rate of 90–100bpm at the end of the contractions

    Quick Answer: 223

    Detailed Answer: 235

  • The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The bladder fills more rapidly because of the medication used for the epidural.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Her level of consciousness is such that she is in a trancelike state.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The sensation of the bladder filling is diminished or lost.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    She is embarrassed to ask for the bedpan that frequently.

    Quick Answer: 223

    Detailed Answer: 235

  • A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Estrogen levels are low

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Lutenizing hormone is high

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The endometrial lining is thin

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The progesterone level is low

    Quick Answer: 223

    Detailed Answer: 235

  • A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Age of the client

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Frequency of intercourse

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Regularity of the menses

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Range of the client’s temperature

    Quick Answer: 223

    Detailed Answer: 235

  • A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Intrauterine device

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Oral contraceptives

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Diaphragm

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Contraceptive sponge

    Quick Answer: 223

    Detailed Answer: 235

  • The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Painless vaginal bleeding

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Abdominal cramping

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Throbbing pain in the upper quadrant

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Sudden, stabbing pain in the lower quadrant

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Hamburger patty, green beans, French fries, and iced tea

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Roast beef sandwich, potato chips, baked beans, and cola

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Fish sandwich, gelatin with fruit, and coffee

    Quick Answer: 223

    Detailed Answer: 236

  • The client with hyperemesis gravidarum is at risk for developing:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Respiratory alkalosis without dehydration

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Metabolic acidosis with dehydration

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Respiratory acidosis without dehydration

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Metabolic alkalosis with dehydration

    Quick Answer: 223

    Detailed Answer: 236

  • A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Elevated human chorionic gonadatropin

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The presence of fetal heart tones

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Uterine enlargement

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Breast enlargement and tenderness

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Hypoglycemic, small for gestational age

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Hyperglycemic, large for gestational age

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Hypoglycemic, large for gestational age

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Hyperglycemic, small for gestational age

    Quick Answer: 223

    Detailed Answer: 236

  • Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Weight gain should be reported to the physician.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    An alternate method of birth control is needed when taking antibiotics.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    If the client misses one or more pills, two pills should be taken per day for one week.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Changes in the menstrual flow should be reported to the physician.

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Diabetes

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    HIV

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Hypertension

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Thyroid disease

    Quick Answer: 224

    Detailed Answer: 236

  • A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Assess the fetal heart tones.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Check for cervical dilation.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Check for firmness of the uterus.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Obtain a detailed history.

    Quick Answer: 224

    Detailed Answer: 236

  • A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Her contractions are two minutes apart.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    She has back pain and a bloody discharge.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    She experiences abdominal pain and frequent urination.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Her contractions are five minutes apart.

    Quick Answer: 224

    Detailed Answer: 236

  • The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Low birth weight

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Large for gestational age

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Preterm birth, but appropriate size for gestation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Growth retardation in weight and length

    Quick Answer: 224

    Detailed Answer: 237

  • The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Within 72 hours of delivery

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Within one week of delivery

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Within two weeks of delivery

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Within one month of delivery

    Quick Answer: 224

    Detailed Answer: 237

  • After the physician performs an amniotomy, the nurse’s first action should be to assess the:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Degree of cervical dilation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Fetal heart tones

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Client’s vital signs

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Client’s level of discomfort

    Quick Answer: 224

    Detailed Answer: 237

  • A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5cm dilated with 75% effacement. Based on the nurse’s assessment, the client is in which phase of labor?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Active

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Latent

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Transition

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Early

    Quick Answer: 224

    Detailed Answer: 237

  • A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Teaching the mother to provide tactile stimulation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Wrapping the newborn snugly in a blanket

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Placing the newborn in the infant seat

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Initiating an early infant-stimulation program

    Quick Answer: 224

    Detailed Answer: 237

  • A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Checking for cervical dilation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Placing the client in a supine position

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Checking the client’s blood pressure

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Obtaining a fetal heart rate

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Administer a prescribed antibiotic.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Wash her hands for two minutes before care.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Wear a mask when providing care.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Ask the client to cover her mouth when she coughs.

    Quick Answer: 224

    Detailed Answer: 237

  • The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Pain

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Disalignment

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Cool extremity

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Absence of pedal pulses

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Lack of exercise

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Hormonal disturbances

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Lack of calcium

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Genetic predisposition

    Quick Answer: 224

    Detailed Answer: 237

  • A two-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The infant no longer complains of pain.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The buttocks are 15° off the bed.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The legs are suspended in the traction.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The pins are secured within the pulley.

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Uses a Steinman pin

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Requires that both legs be secured

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Utilizes Kirschner wires

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Is used primarily to heal the fractured hips

    Quick Answer: 224

    Detailed Answer: 238

  • The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Serum collection (Davol) drain

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Client’s pain

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Nutritional status

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Immobilizer

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    “I must flush the tube with water after feedings and clamp the tube.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    “I must check placement four times per day.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    “I will report to the doctor any signs of indigestion.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is assessing the client with a total knee replacement two hours post-operative. Which information requires notification of the doctor?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Scant bleeding on the dressing

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Low-grade temperature

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Hemoglobin of 7gm

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The urinary output has been 120ml during the last hour

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is caring for the client with a five-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The client has traveled out of the country in the last six months.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The client’s parents are skilled stained-glass artists.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The client lives in a house built in 1990.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The client has several brothers and sisters.

    Quick Answer: 224

    Detailed Answer: 238

  • A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    High-seat commode

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Recliner

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    TENS unit

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Abduction pillow

    Quick Answer: 224

    Detailed Answer: 238

  • An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Administer oxygen via nasal cannula.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Have narcan (naloxane) available.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Prepare to administer blood products.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Prepare to do cardioresuscitation.

    Quick Answer: 224

    Detailed Answer: 238

  • Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell’s traction?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    16-year-old female with scoliosis

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    12-year-old male with a fractured femur

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    10-year-old male with sarcoma

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    6-year-old male with osteomylitis

    Quick Answer: 224

    Detailed Answer: 239

  • A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Take the medication with milk.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Report chest pain.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Remain upright after taking for 30 minutes.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Allow six weeks for optimal effects.

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Handles the cast with the fingertips

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Petals the cast

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Dries the cast with a hair dryer

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Allows 24 hours before bearing weight

    Quick Answer: 224

    Detailed Answer: 239

  • The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    “It will be alright for your friends to autograph the cast.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    “Because the cast is made of plaster, autographing can weaken the cast.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    “If they don’t use chalk to autograph, it is okay.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    “Autographing or writing on the cast in any form will harm the cast.”

    Quick Answer: 224

    Detailed Answer: 239

  • The nurse is assigned to care for the client with a Steinman pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Assisting the LPN with opening sterile packages and peroxide

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Telling the LPN that clean gloves are allowed

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Telling the LPN that the registered nurse should perform pin care

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Asking the LPN to clean the weights and pulleys with peroxide

    Quick Answer: 224

    Detailed Answer: 239

  • A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Check the bowel sounds.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Assess the blood pressure.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Offer pain medication.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Check for swelling.

    Quick Answer: 224

    Detailed Answer: 239

  • The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Russell’s traction

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Buck’s traction

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Halo traction

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Crutchfield tong traction

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    “Use of the CPM will permit the client to ambulate during the therapy.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    “The CPM machine controls should be positioned distal to the site.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    “If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Palms rest lightly on the handles

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Elbows are flexed 0°

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Client walks to the front of the walker

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Client carries the walker

    Quick Answer: 224

    Detailed Answer: 240

  • When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Attempt to replace the cord.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Place the client on her left side.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Elevate the client’s hips.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Cover the cord with a dry, sterile gauze.

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The tube will allow for equalization of the lung expansion.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Chest tubes relieve pain associated with a collapsed lung.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Chest tubes assist with cardiac function by stabilizing lung expansion.

    Quick Answer: 224

    Detailed Answer: 240

  • A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Mother’s educational level

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Infant’s birth weight

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Size of the mother’s breast

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Mother’s desire to breastfeed

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The presence of scant bloody discharge

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Frequent urination

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The presence of green-tinged amniotic fluid

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Moderate uterine contractions

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Duration is measured by timing from the end of one contraction to the beginning of the next contraction.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Duration is measured by timing from the peak of one contraction to the end of the same contraction.

    Quick Answer: 224

    Detailed Answer: 240

  • The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Maternal hypoglycemia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Fetal bradycardia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Maternal hyperreflexia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Fetal movement

    Quick Answer: 224

    Detailed Answer: 240

  • A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Insulin requirements moderate as the pregnancy progresses.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    A decreased need for insulin occurs during the second trimester.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Elevations in human chorionic gonadotrophin decrease the need for insulin.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Fetal development depends on adequate insulin regulation.

    Quick Answer: 224

    Detailed Answer: 240

  • A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Providing a calm environment

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Obtaining a diet history

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Administering an analgesic

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Assessing fetal heart tones

    Quick Answer: 224

    Detailed Answer: 240

  • A primigravida, age 42, is six weeks pregnant. Based on the client’s age, her infant is at risk for:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Down syndrome

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Respiratory distress syndrome

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Turner’s syndrome

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Pathological jaundice

    Quick Answer: 224

    Detailed Answer: 241

  • A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Magnesium sulfate

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Calcium gluconate

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Dinoprostone (Prostin E.)

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Bromocrystine (Parlodel)

    Quick Answer: 224

    Detailed Answer: 241

  • A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Stop the infusion of magnesium sulfate and contact the physician.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Slow the infusion rate and turn the client on her left side.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Administer calcium gluconate IV push and continue to monitor the blood pressure.

    Quick Answer: 224

    Detailed Answer: 241

  • Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    An affected newborn has unaffected parents.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    An affected newborn has one affected parent.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Affected parents have a one in four chance of passing on the defective gene.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Affected parents have unaffected children who are carriers.

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Because it is a state law

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    To detect cardiovascular defects

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Because of her age

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    To detect neurological defects

    Quick Answer: 224

    Detailed Answer: 241

  • A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Fetal growth is arrested if thyroid medication is continued during pregnancy.

    Quick Answer: 224

    Detailed Answer: 241

  • The nurse is responsible for performing a neonatal assessment on a full-term infant. At one minute, the nurse could expect to find:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    An apical pulse of 100

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    An absence of tonus

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Cyanosis of the feet and hands

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Jaundice of the skin and sclera

    Quick Answer: 224

    Detailed Answer: 241

  • A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Supplemental oxygen

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Fluid restriction

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Blood transfusion

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Delivery by Caesarean section

    Quick Answer: 224

    Detailed Answer: 241

  • A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Increasing fluid intake

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Limiting ambulation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Administering an enema

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Withholding food for eight hours

    Quick Answer: 224

    Detailed Answer: 241

  • An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    14 pounds

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    16 pounds

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    18 pounds

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    24 pounds

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Determines the lung maturity of the fetus

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Measures the activity of the fetus

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Shows the effect of contractions on the fetal heart rate

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Measures the neurological well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 242

  • A full-term male has hypospadias. Which statement describes hypospadias?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The urethral opening is absent

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The urethra opens on the top side of the penis

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The urethral opening is enlarged

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The urethra opens on the under side of the penis

    Quick Answer: 224

    Detailed Answer: 242

  • A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Alteration in coping related to pain

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Potential for injury related to precipitate delivery

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Alteration in elimination related to anesthesia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Potential for fluid volume deficit related to NPO status

    Quick Answer: 224

    Detailed Answer: 242

  • The client with varicella will most likely have an order for which category of medication?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Antibiotics

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Antipyretics

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Antivirals

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Anticoagulants

    Quick Answer: 224

    Detailed Answer: 242

  • A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Nitroglycerin

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Ampicillin

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Propranolol

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Verapamil

    Quick Answer: 224

    Detailed Answer: 242

  • Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Avoid exercise because it fatigues the joints.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Take prescribed anti-inflammatory medications with meals.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Alternate hot and cold packs to affected joints.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Avoid weight-bearing activity.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Meperidine 100mg IM m 4 hours PRN pain

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Mylanta 30 ccs m 4 hours via NG

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Cimetadine 300mg PO m.i.d.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Morphine 8mg IM m 4 hours PRN pain

    Quick Answer: 224

    Detailed Answer: 242

  • The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Hallucinogenic drugs create both stimulant and depressant effects.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Hallucinogenic drugs induce a state of altered perception.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Hallucinogenic drugs produce severe respiratory depression.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Hallucinogenic drugs induce rapid physical dependence.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Depression and suicidal ideation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Tachycardia and diarrhea

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Muscle cramping and abdominal pain

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Tachycardia and euphoric mood

    Quick Answer: 224

    Detailed Answer: 242

  • During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Right breech presentation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Right occipital anterior presentation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Left sacral anterior presentation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Left occipital transverse presentation

    Quick Answer: 224

    Detailed Answer: 243

  • The primary physiological alteration in the development of asthma is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Bronchiolar inflammation and dyspnea

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Hypersecretion of abnormally viscous mucus

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Infectious processes causing mucosal edema

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Spasm of bronchiolar smooth muscle

    Quick Answer: 224

    Detailed Answer: 243

  • A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Serve high-calorie foods she can carry with her.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Encourage her appetite by sending out for her favorite foods.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Serve her small, attractively arranged portions.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Allow her in the unit kitchen for extra food whenever she pleases.

    Quick Answer: 224

    Detailed Answer: 243

  • To maintain Bryant’s traction, the nurse must make certain that the child’s:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Hips are resting on the bed, with the legs suspended at a right angle to the bed

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

    Quick Answer: 224

    Detailed Answer: 243

  • Which action by the nurse indicates understanding of herpes zoster?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The nurse covers the lesions with a sterile dressing.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The nurse wears gloves when providing care.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The nurse administers a prescribed antibiotic.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The nurse administers oxygen.

    Quick Answer: 224

    Detailed Answer: 243

  • There is an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that he should contact the lab for them to collect the blood:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    15 minutes after the infusion

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    30 minutes before the fourth infusion

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    One hour after the infusion

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Two hours after the infusion

    Quick Answer: 224

    Detailed Answer: 243

  • The client using a diaphragm should be instructed to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Refrain from keeping the diaphragm in longer than four hours

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Keep the diaphragm in a cool location

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Have the diaphragm resized if she gains five pounds

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Have the diaphragm resized if she has any surgery

    Quick Answer: 224

    Detailed Answer: 243

  • The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    “I’m wearing a support bra.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    “I’m expressing milk from my breast.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    “I’m drinking four glasses of fluid during a 24-hour period.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    “While I’m in the shower, I’ll allow the water to run over my breasts.”

    Quick Answer: 224

    Detailed Answer: 243

  • Damage to the VII cranial nerve results in:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Facial pain

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Absence of ability to smell

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Absence of eye movement

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Tinnitus

    Quick Answer: 224

    Detailed Answer: 243

  • A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Cause diarrhea

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Change the color of her urine

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Cause mental confusion

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Cause changes in taste

    Quick Answer: 224

    Detailed Answer: 244

  • Which of the following tests should be performed before beginning a prescription of Accutane?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Check the calcium level.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Perform a pregnancy test.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Monitor apical pulse.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Obtain a creatinine level.

    Quick Answer: 224

    Detailed Answer: 244

  • A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Limit the client’s activity.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Encourage a high-carbohydrate diet.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Use an incentive spirometer to improve respiratory function.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Encourage fluids.

    Quick Answer: 224

    Detailed Answer: 244

  • A client is admitted for an CAT scan. The nurse should question the client regarding:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Pregnancy

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    A titanium hip replacement

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Allergies to antibiotics

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Inability to move his feet

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Changes in vision

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Nausea

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Urinary frequency

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Changes in skin color

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse should visit which of the following clients first?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The client with diabetes with a blood glucose of 95mg/dL

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The client with hypertension being maintained on Lisinopril

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The client with chest pain and a history of angina

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The client with Raynaud’s disease

    Quick Answer: 224

    Detailed Answer: 244

  • A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Once per day in the morning

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Three times per day with meals

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Once per day at bedtime

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Four times per day

    Quick Answer: 224

    Detailed Answer: 244

  • Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The lens controls stimulation of the retina.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The lens orchestrates eye movement.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The lens focuses light rays on the retina.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The lens magnifies small objects.

    Quick Answer: 224

    Detailed Answer: 244

  • A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Anesthetize the cornea

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Dilate the pupils

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Constrict the pupils

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Paralyze the muscles of accommodation

    Quick Answer: 224

    Detailed Answer: 244

  • A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Allow five minutes between the two medications.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The medications may be used together.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The medications should be separated by a cycloplegic drug.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The medications should not be used in the same client.

    Quick Answer: 224

    Detailed Answer: 244

  • The client with color blindness will most likely have problems distinguishing which of the following colors?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Orange

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Violet

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Red

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    White

    Quick Answer: 224

    Detailed Answer: 244

  • The client with a pacemaker should be taught to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Report ankle edema

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Check his blood pressure daily

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Refrain from using a microwave oven

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Monitor his pulse rate

    Quick Answer: 224

    Detailed Answer: 245

  • The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    1900

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    1200

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    1000

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    0700

    Quick Answer: 224

    Detailed Answer: 245

  • Which of the following diet instructions should be given to the client with recurring urinary tract infections?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Increase intake of meats.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Avoid citrus fruits.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Perform pericare with hydrogen peroxide.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Drink a glass of cranberry juice every day.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    “I will make sure I eat breakfast within two hours of taking my insulin.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 224

    Detailed Answer: 245

  • A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Treat anemia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Create a synergistic effect

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Increase the number of white blood cells

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Reverse drug toxicity

    Quick Answer: 224

    Detailed Answer: 245

  • A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    TB skin test

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Rubella vaccine

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    ELISA test

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Chest x-ray

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    30 minutes before meals

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    With each meal

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    In a single dose at bedtime

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    60 minutes after meals

    Quick Answer: 224

    Detailed Answer: 245

  • A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Is the opening on the client’s left side

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Is the opening on the distal end on the client’s left side

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Is the opening on the client’s right side

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Is the opening on the distal right side

    Quick Answer: 224

    Detailed Answer: 245

  • While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Ask the client to void.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Assess the blood pressure for hypotension.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Administer oxytocin.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Check for vaginal bleeding.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The need for oxygen therapy

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    A history of claustrophobia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    A permanent pacemaker

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Sensory deafness

    Quick Answer: 224

    Detailed Answer: 246

  • A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Colorful crib mobile

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Hand-held electronic games

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Cars in a plastic container

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    30-piece jigsaw puzzle

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Taking a hot bath will decrease stiffness and spasticity.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    A schedule of strenuous exercise will improve muscle strength.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Rest periods should be scheduled throughout the day.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Visual disturbances can be corrected with prescription glasses.

    Quick Answer: 224

    Detailed Answer: 246

  • A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Dulcolax suppository

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Docusate sodium (Colace)

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Methyergonovine maleate (Methergine)

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Bromocriptine sulfate (Parlodel)

    Quick Answer: 224

    Detailed Answer: 246

  • A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Total Parenteral Nutrition cannot be managed with oral hypoglycemics.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Total Parenteral Nutrition leads to further pancreatic disease.

    Quick Answer: 224

    Detailed Answer: 246

  • An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The client’s knowledge of the signs of preterm labor

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The client’s feelings about the pregnancy

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Whether the client was using a method of birth control

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The client’s thought about future children

    Quick Answer: 224

    Detailed Answer: 246

  • An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    .45 normal saline

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Dextrose 1% in water

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Lactated Ringer’s

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Dextrose 5% in .45 normal saline

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Assess the client for allergies.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Bolus the client with IV fluid.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Tell the client he will be asleep.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Insert a urinary catheter.

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Provide immunity against Rh isoenzymes

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Prevent the formation of Rh antibodies

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Eliminate circulating Rh antibodies

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Convert the Rh factor from negative to positive

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Application of a short inclusive spica cast

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Stabilization with a plaster-of-Paris cast

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Surgery with Kirschner wire implantation

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    A gauze dressing only

    Quick Answer: 224

    Detailed Answer: 246

  • A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Strain his urine

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Increase his fluid intake

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Report urinary frequency

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Avoid prolonged sitting

    Quick Answer: 224

    Detailed Answer: 247

  • Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Antivirals

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Antibiotics

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Immunosuppressants

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Analgesics

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Mydriatics to facilitate removal

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Miotic medications such as Timoptic

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    A laser to smooth and reshape the lens

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Silicone oil injections into the eyeball

    Quick Answer: 224

    Detailed Answer: 247

  • A client with Alzheimer’s disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Placing mirrors in several locations in the home

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Placing a picture of herself in her bedroom

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Placing simple signs to indicate the location of the bedroom, bathroom, and so on

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Alternating healthcare workers to prevent boredom

    Quick Answer: 224

    Detailed Answer: 247

  • A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Prevent the need for dressing changes

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Reduce edema at the incision

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Provide for wound drainage

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Keep the common bile duct open

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Mongolian spots

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Scrotal rugae

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Head lag

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Polyhydramnios

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Hematuria

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Muscle spasms

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Dizziness

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Nausea

    Quick Answer: 224

    Detailed Answer: 247

  • A client is brought to the emergency room by the police. He is combative and yells, “I have to get out of here. They are trying to kill me.” Which assessment is most likely correct in relation to this statement?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The client is experiencing an auditory hallucination.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The client is having a delusion of grandeur.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The client is experiencing paranoid delusions.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The client is intoxicated.

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client’s bedside table. There is no label to indicate the date or time of initial use. The nurse should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Lip the bottle and use a pack of sterile 4×4 for the dressing.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Obtain a new bottle and label it with the date and time of first use.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Ask the ward secretary when the solution was requested.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Label the existing bottle with the current date and time.

    Quick Answer: 224

    Detailed Answer: 247

  • An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The baby is hypothermic.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    The baby is experiencing bradycardia.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The baby’s hands and feet are blue.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    The baby is lethargic.

    Quick Answer: 224

    Detailed Answer: 247

  • The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Lessen the amount of cellular damage

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Prevent the formation of blisters

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Promote movement

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Prevent pain and discomfort

    Quick Answer: 224

    Detailed Answer: 248

  • A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Passing water through a dialyzing membrane

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Eliminating plasma proteins from the blood

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Lowering the pH by removing nonvolatile acids

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Filtering waste through a dialyzing membrane

    Quick Answer: 224

    Detailed Answer: 248

  • During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Administer an antibiotic.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Contact the physician for an order for immune globulin.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Administer an antiviral.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Tell the client that he should remain in isolation for two weeks.

    Quick Answer: 224

    Detailed Answer: 248

  • A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    The client should be placed in a room with negative pressure.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Infection requires close contact; therefore, the door may remain open.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Transmission is highly likely, so the client should wear a mask at all times.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

    Quick Answer: 224

    Detailed Answer: 248

  • A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    “The pain will go away in a few days.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    “The pain is psychological because your foot is no longer there.”

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    “The pain and itching are due to the infection you had before the surgery.”

    Quick Answer: 224

    Detailed Answer: 248

    Quick Answer: 224

    Detailed Answer: 248

  • A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Head of the pancreas

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Proximal third section of the small intestines

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Stomach and duodenum

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Esophagus and jejunum

    Quick Answer: 224

    Detailed Answer: 248

  • The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Fruits

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Salt

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Pepper

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Ketchup

    Quick Answer: 224

    Detailed Answer: 248

  • A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Have a Protime done monthly.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Eat more fruits and vegetables.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Drink more liquids.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Avoid crowds.

    Quick Answer: 224

    Detailed Answer: 248

  • The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Perform the Valsalva maneuver as the catheter is advanced

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Turn his head to the left side and hyperextend the neck

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Take slow, deep breaths as the catheter is removed

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Turn his head to the right while maintaining a sniffing position

    Quick Answer: 224

    Detailed Answer: 248

  • A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Allergies to pineapples and bananas

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    A history of streptococcal infections

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Prior therapy with phenytoin

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    A history of alcohol abuse

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Using oil- or cream-based soaps

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Flossing between the teeth

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    The intake of salt

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Using an electric razor

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Apply the new tie before removing the old one.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Have a helper present.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Hold the tracheotomy with the nondominant hand while removing the old tie.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Ask the doctor to suture the tracheostomy in place.

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Turning the client to the left side

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Milking the tube to ensure patency

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Slowing the intravenous infusion

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Notifying the physician

    Quick Answer: 224

    Detailed Answer: 249

  • The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Digoxin

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Epinephrine

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Aminophyline

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Atropine

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    Quick Answer: 224

    Detailed Answer: 249

  • The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Tire easily

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Grow normally

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Need more calories

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Be more susceptible to viral infections

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Determine lung maturity

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Measure the fetal activity

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Show the effect of contractions on fetal heart rate

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Measure the well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Instruct the client to push.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Perform a vaginal exam.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Turn off the Pitocin infusion.

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Place the client in a semi-Fowler’s position.

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Atrial flutter

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    A sinus rhythm

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Ventricular tachycardia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Atrial fibrillation

    Quick Answer: 224

    Detailed Answer: 250

  • A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Be injected into the deltoid muscle

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Be injected into the abdomen

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Aspirate after the injection

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Clear the air from the syringe before injections

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Administer the medications together in one syringe

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Administer the medication separately

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Administer the Valium, wait five minutes, and then inject the Phenergan

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Question the order because they cannot be given at the same time

    Quick Answer: 224

    Detailed Answer: 250

  • A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Douche after intercourse

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Void every three hours

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Obtain a urinalysis monthly

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Wipe from back to front after voiding

    Quick Answer: 224

    Detailed Answer: 250

  • Which task should be assigned to the nursing assistant?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Placing the client in seclusion

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Emptying the Foley catheter of the preeclamptic client

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Feeding the client with dementia

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Ambulating the client with a fractured hip

    Quick Answer: 224

    Detailed Answer: 250

  • The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    A tracheotomy set

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    A padded tongue blade

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    An endotracheal tube

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    An airway

    Quick Answer: 224

    Detailed Answer: 250

  • The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    A.

    Cats

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    B.

    Dogs

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    C.

    Turtles

    Which findings would the nurse expect on assessment in a patient with thrombocytopenia

    D.

    Birds

    Quick Answer: 224

    Detailed Answer: 250

    • Which manifestations is most likely to be assessed in a patient with thrombocytopenia?

    Bleeding is the most common clinical manifestation of ITP, with the risk of bleeding and related morbidity increased in elderly patients.

    Which of the following clinical manifestations would the nurse expect to see in a patient with possible pernicious anemia?

    The clinical presentation of pernicious anemia is multifarious and insidious in onset. Symptoms may include fatigue, pallor, paresthesia, incontinence, psychosis, and generalized weakness.

    Which nursing intervention would be appropriate in the care of a patient diagnosed with immune thrombocytopenic purpura?

    Life-threatening bleeding requires conventional critical care interventions; in the patient with known ITP, high-dose parenteral glucocorticoids and IV immunoglobulin (IVIg), with or without platelet transfusions, are appropriate.

    Which laboratory value would be monitored in a patient with thrombocytopenia?

    A complete blood count (CBC) measures the levels of red blood cells, white blood cells, and platelets in your blood. For this test, a small amount of blood is drawn from a blood vessel, usually in your arm. If you have thrombocytopenia, the results of this test will show that your platelet count is low.

    findings nurse expect assessment patient thrombocytopenia

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