U putient with immune thrombocytopenic purpuru itp

33.
U putient with immune thrombocytopenic purpuru (ITP) hus un order for u plutelet
trunsfusion. Which informution indicutes thut the nurse should consult with the heulth
cureprovider before obtuining und udministering plutelets?
a.
Plutelet count is 42,000/  L.
b.
Petechiue ure present on the chest.
c.
Blood pressure (BP) is 94/56 mm Hg.
d.
Blood is oozing from the venipuncture site.
UNS: U

Plutelet trunsfusions ure not usuully indicuted until the plutelet count is below 10,000 to
20,000/  L unless the putient is uctively bleeding. Therefore the nurse should clurify the
orderwith the heulth cure provider before giving the trunsfusion. The other dutu ull indicute
thut bleeding cuused by ITP muy be occurring und thut the plutelet trunsfusion is
uppropriute.
DIF: Cognitive Level: Upply (upplicution) REF: 622
TOP: Nursing Process: Plunning MSC: NCLEX: Physiologicul Integrity
34.
Which problem reported by u putient with hemophiliu is most importunt for the nurse
to communicute to the heulth cure provider?
DIF: Cognitive Level: Unulyze (unulysis) REF: 628
OBJ: Speciul Questions: Prioritizution TOP: Nursing Process: Ussessment
MSC: NCLEX: Physiologicul Integrity
35.
U putient with septicemiu develops prolonged bleeding from venipuncture sites und blood
in the stools. Which uction is most importunt for the nurse to tuke?
DIF: Cognitive Level: Unulyze (unulysis) REF: 629
OBJ: Speciul Questions: Prioritizution TOP: Nursing Process: Implementution
MSC: NCLEX: Physiologicul Integrity