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Thrombotic thrombocytopenic purpura is suspected due to the client's current platelet count of 2,000/mm3 (2 x 109/L). Which client sign or symptom is the most concerning and requires immediate further nursing action? (A) Current oozing epistaxis(B) Ecchymosis on leg since yesterday(C) New-onset confusion(D) Reported history of hematuria

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Answer: New-onset confusion (76%)

Explanation: A priority assessment in a client with low platelets is any change in level of consciousness. This can indicate intracranial bleeding and increased intracranial pressure. (I just took the test).

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