Author Question: Following a course of measles, a 5-year-old girl developed scattered bruising over numerous body ... (Read 72 times)

altibaby · **on:** Jun 25, 2018

Following a course of measles, a 5-year-old girl developed scattered bruising over numerous body surfaces and was diagnosed with immune thrombocytopenic purpura (ITP). As part of her diagnostic workup, blood work was performed.

Which of the following results is most likely to be considered unexpected by the health care team?
A)
Increased thrombopoietin levels
B)
Decreased platelet count
C)
Normal vitamin K levels
D)
Normal leukocyte levels

Question 2

While being on subcutaneous heparin injections for deep vein thrombosis during her latter pregnancy, a patient begins to experience major side effects.

Her OB-GYN physician has called in a specialist who thinks that the patient is experiencing heparin-induced thrombocytopenia. The nurse should anticipate which of the following orders?
A)
Decrease the dose of heparin from 5000 units b.i.d to 3000 units b.i.d
B)
Immediately discontinue the heparin therapy
C)
Switch to Coumadin 2.5 mg once/day
D)
Infuse FFP stat

duke02 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
A

Feedback:

In ITP, thrombopoietin levels are not elevated. Platelet levels would be expected to be low, and vitamin K and leukocyte levels would be unlikely abnormal.

Answer to Question 2

Ans:
B

Feedback:

The treatment of HIT requires the immediate discontinuation of heparin therapy and the use of alternative anticoagulants to prevent thrombosis recurrence. Decreasing the dose will not stop HIT. Coumadin is contraindicated in pregnancy. FFP is not called for in this situation.