A Client with Autoimmune Idiopathic Thrombocytopenic Purpura (ITP)has Had a Splenectomy

question 18

Multiple Choice

A client with autoimmune idiopathic thrombocytopenic purpura (ITP) has had a splenectomy and returned to the surgical unit 2 hours ago.The nurse assesses the client and finds the abdominal dressing saturated with blood.What action is most important?

• A) Preparing to administer a blood transfusion
• B) Reinforcing the dressing and documenting findings
• C) Removing the dressing and assessing the surgical site
• D) Taking a set of vital signs and notifying the surgeon

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Definitions:

Emotional Distress

A state of emotional suffering often characterized by feelings of anxiety, depression, or stress.

Addiction

A compulsive, chronic, physiological or psychological need for a substance, activity, or habit that is harmful to the individual.

Dependence

A state of needing something or someone for support, survival, or to function properly.

Delta-9-Tetrahydrocannabinol

The psychoactive compound in cannabis responsible for its mind-altering effects.