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Author Question: Which patient statement from a 15-year-old girl with thrombocytopenia would require more assessment ... (Read 35 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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Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

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