Answer to Question 1
B
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Idiopathic thrombocytopenic purpura (ITP) is the result of a decrease in the number of circulating platelets in the presence of adequate megakaryocytes, which are precursors to platelets. Because bleeding can occur with this disease process, the diagnosis most appropriate for the patient at this time is risk for bleeding related to insufficient platelet formation. Reduced numbers of platelets would not increase the patient's risk for infection. Reduced numbers of platelets does not increase the patient's risk for renal impairment. Reduced risk of platelets will not lead to an ineffective breathing pattern.
Answer to Question 2
A
Feedback:
Itchy skin, hives, and wheezes while receiving a blood transfusion indicate an allergic reaction to the blood proteins. The nurse should stop the infusion. This will be temporary because after the child receives oxygen and an antihistamine, the transfusion will be resumed. Blood cultures are indicated if the child experiences an increase in body temperature. Slowing the transfusion rate will not reduce the patient's symptoms. A diuretic would be indicated if the child demonstrates shortness of breath and an increased pulse rate.
Child with bacterial meningitis in an opisthotonic position.
Wheel of Nursing
A Dorsal view of a scan of the hand phalange of a child from Denisova that yielded mtDNA that differ
Compressions for a child.
A child with Down syndrome.
Child's right hand and wrist displaying the characteristic spotted rash of Rocky Mountain ...