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Author Question: What condition is an acquired hemorrhagic disorder that is characterized by excessive destruction of ... (Read 61 times)

a0266361136

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on: Jun 28, 2018
What condition is an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets?
 
  a. Aplastic anemia
  b. Thalassemia major
  c. Idiopathic thrombocytopenic purpura
  d. Disseminated intravascular coagulation

Question 2

Care for the child with acute idiopathic thrombocytopenic purpura (ITP) includes which therapeutic intervention?
 
  a. Splenectomy
  b. Intravenous administration of anti-D antibody
  c. Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
  d. Helping child participate in sports


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Jadwiga9

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: C
Idiopathic thrombocytopenic purpura is an acquired hemorrhagic disorder characterized by an excessive destruction of platelets, discolorations caused by petechiae beneath the skin, and normal bone marrow. Aplastic anemia refers to a bone marrow failure condition in which the formed elements of the blood are simultaneously depressed. Thalassemia major is a group of blood disorders characterized by deficiency in the production rate of specific hemoglobin chains. Disseminated intravascular coagulation is characterized by diffuse fibrin deposition in the microvasculature, consumption of coagulation factors, and endogenous generation of thrombin and plasma.

Answer to Question 2

ANS: B
Anti-D antibody causes an increase in platelet count approximately 48 hours after administration. Splenectomy is reserved for chronic severe ITP not responsive to pharmacologic management. NSAIDs are not used in ITP. Both NSAIDs and aspirin interfere with platelet aggregation. The nurse works with the child and parents to choose quiet activities while the platelet count is below 100,000/mm3.


a0266361136

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Reply 2 on: Jun 28, 2018
Thanks for the timely response, appreciate it

cpetit11

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Reply 3 on: Yesterday
Excellent

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