A child who has been in good health has a platelet count of ...

[future617RT]

A child who has been in good health has a platelet count of 45,000/mm3, petechiae, and excessive bruising that covers the body. The nurse is aware that these signs are clinical manifestations of
 
  a. Erythroblastopenia
  b. von Willebrand disease
  c. Hemophilia
  d. Immune thrombocytopenic purpura (ITP)

Question 2

Dying children often experience a sense of heightened awareness and understanding. Accordingly some children, particularly those who are very young, may need verbal permission to die. Is this statement true or false?
 
  Indicate whether the statement is true or false

[cegalasso]

Answer to Question 1

D
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A The clinical manifestations of erythroblastopenia are pallor, lethargy, headache,
fainting, and a history of upper respiratory infection.
B The clinical manifestations of von Willebrand disease are bleeding from the
gums or nose, prolonged bleeding from cuts, and excessive bleeding after
surgery or trauma.
C Bleeding is the clinical manifestation of hemophilia and results from a deficiency
of normal factor activity necessary to produce blood clotting.
D Excessive bruising and petechiae, especially involving the mucous membranes
and gums in a child who is otherwise healthy, are the clinical manifestations of
ITP, resulting from decreased platelets. The etiology of ITP is unknown, but it is
considered to be an autoimmune process.

Answer to Question 2

T
This is correct. The child may also need reassurance that it is safe to die along with a
description of what to expect. Children also need to know that the family and friends that
are left behind will be alright and will take care of each other.