Author Question: A child is hospitalized with immune thrombocytopenia (ITP). What treatment options does the nurse ... (Read 14 times)

MGLQZ · **on:** Jun 28, 2018

A child is hospitalized with immune thrombocytopenia (ITP). What treatment options does the nurse prepare to answer questions about? (Select all that apply.)

A.
Anti-D antibody (WinRho)
B.
IV immune gamma globulin
C.
Platelet transfusions
D.
Steroid administration
E.
Whole blood transfusion

Question 2

A child has mild anemia. Parents learn to assess for signs of worsening anemia, including which of the following? (Select all that apply.)

A.
Decreased activity
B.
Irritability
C.
Listlessness
D.
Pale skin
E.
Rapid heart rate

ririgirl15 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, B, C, D
Treatment options for ITP include WinRho, IV immune gamma globulin (IVIG), platelet transfusion in case of a life-threatening condition, and steroids. Whole blood is not transfused. If the child experiences a severe hemolytic anemia secondary to the WinRho, packed red blood cells might be considered, but usually this is a rapidly improving condition.

Answer to Question 2

ANS: A, B, C, E
Signs of moderate anemia include decreased activity, irritability or listlessness, tachycardia, systolic heart murmur, irritability, fatigue, delayed motor development, hepatomegaly, and congestive heart failure. Pale skin can be seen in both mild and moderate anemia.