- Bob is diagnosed with idiopathic thrombocytopenic purpura (ITP). You
realize that he has an increased risk of bleeding and you must monitor:
(a) WBC and bleeding time.
(b) PT and PTT.
(c) platelet count and RBC.
(d) iron and ferritin levels. - Tom reports a history of carpal tunnel syndrome. What else would you
expect to find in his history?
(a) Crepitus (grating feeling on palpation over joint during range of
motion) due to loss of articular cartilage and bony overgrowth in joint.
(b) Excessive forward curvature of the thoracic spine (kyphosis) due to
pathologic vertebral fractures and collapsing of the anterior portion of
the vertebral bodies in the thoracic area.
(c) Pain and numbness or tingling sensation in the hand over the palmar
surface of the thumb, index, and middle fingers, and lateral aspect of
the ring finger, that is worse at night.
(d) Acute onset of excruciating pain in joint due to accumulation of uric
acid within the joint. - Joan is diagnosed with a gastric ulcer. What symptoms would she exhibit?
(a) Epigastric pain worse before meals, pain on awakening, and melena.
(b) Decreased bowel sounds, rigid abdomen, rebound tenderness, and fever.
(c) Boring epigastric pain radiating to back and left shoulder, bluish-gray
discoloration of periumbilical area, and ascites.
(d) Epigastric pain that is worse after eating and weight loss. - You have been caring for a patient with osteomyelitis. In preparing the patient
for discharge, you include teaching about:
(a) the importance of multiple-week treatment with antibiotics.
(b) the side effects and interactions of the medications.
(c) symptoms that necessitate a call to the physician, nurse practitioner, or
physician assistant.
(d) all of the above. - Following a bone marrow transplant the patient has an increased risk for:
(a) bleeding.
(b) infection.
(^566) Medical-Surgical Nursing Demystified