Question

A nurse is assigned to care for a client diagnosed with autoimmune or idiopathic thrombocytopenic purpura (ITP). When reviewing the client's plan of care prior to caring for the client, the nurse should recognize that the priority concern in caring for the client is to monitor for ___________.

a. Side effects of immunosuppressants
b. Constipation
c. Fatigue
d. Bleeding

Answer 1

The priority concern in caring for a client diagnosed with autoimmune or idiopathic thrombocytopenic purpura (ITP) is to monitor for bleeding. Option d.

Step-by-step explanation:

The priority concern in caring for a client diagnosed with autoimmune or idiopathic thrombocytopenic purpura (ITP) is to monitor for bleeding. Option d.

ITP is a condition characterized by a low platelet count, which can lead to excessive bleeding or bruising. Therefore, it is crucial for the nurse to closely monitor the client for any signs of bleeding, such as petechiae, ecchymosis, or hematuria.

While monitoring for bleeding is the priority concern, it is also important to consider other aspects of care, such as side effects of immunosuppressants or constipation, but these are not the immediate priority in this case.