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Author Question: Which patient statement from a 15-year-old girl with thrombocytopenia would require more assessment ... (Read 38 times)

maychende

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on: Jul 11, 2018
Which patient statement from a 15-year-old girl with thrombocytopenia would require more assessment to report to the charge nurse?
 
  a. I think these red spots on my skin are going away.
  b. I am so bored lying in bed I could scream.
  c. My bowel movement is brown and stinks.
  d. I have this really weird Coke-colored urine.

Question 2

The home health nurse recommends to the mother of a 12-year-old child with leukemia that the child should have:
 
  a. the series for prevention of hepatitis B.
  b. an annual influenza vaccine.
  c. an annual pneumococcal vaccine.
  d. vitamin B12 shots.


Joc

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Reply #1 on: Jul 11, 2018
Answer to Question 1

ANS: D
Coke-colored urine is hematuria that should be documented and reported to the charge nurse. The purpura will fade as they are absorbed. Boredom and smelly stools are normal for a 14-year-old.

Answer to Question 2

ANS: B
Children with leukemia should have an annual influenza vaccine and a pneumococcal vaccine every 5 years.


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Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

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