The nurse is assigned to a child who has a platelet count of ...

[crobinson2013]

The nurse is assigned to a child who has a platelet count of 15,000 per cubic millimeter. The nurse realizes that which of the following is true?
 
  a. A blood thinner such as Coumadin needs to be considered by the physician.
  b. There is a serious danger of infection even from normal skin bacteria.
  c. This is a normal platelet count, and there is nothing to worry about in regard to platelets.
  d. The child has a high risk of spontaneous bleeding, which can be life threatening.

Question 2

The pediatrician has been speaking with a mother about the prepubescent period. Later the mother asks the nurse, What does prepubescence mean? Which of the following is the nurse's best response?
 
  a. It is the 2 years before puberty with puberty being when secondary sex characteristics start to develop and girls begin menstruation.
  b. It is the period of time from birth until the time when the individual has the ability to reproduce.
  c. It is the months in which the child is developing secondary sexual characteristics up until sexual development is sufficient for reproduction.
  d. It is the time period starting with interest in a sexual partner to the time of the first sexual mating.

[mjbamaung]

Answer to Question 1

D

Feedback
A Incorrect. The addition of an anticoagulant would not be an appropriate intervention, as such medications would place the client at greater risk of bleeding.
B Incorrect. The platelet count is not indicative of signs and symptoms of infection.
C Incorrect. A platelet count of 15,000 is not considered a normal finding.
D Correct. A platelet count of less than 20,000 places the child at a high risk of spontaneous bleeding, a potentially life-threatening condition.

Answer to Question 2

A

Feedback
A Correct: The last years of the school-age period are called prepubescence, meaning the 2 years before puberty.
B Incorrect: This is not the correct definition of prepubescence.
C Incorrect: This is not the correct definition of prepubescence.
D Incorrect: This is not the correct definition of prepubescence.