Free NCLEX RN Practice Test Practice Question
A client has immune thrombocytopenic purpura. The client's platelet count is 19,000. Which initial treatment does the nurse expect?
Correct Answer: B
Rationale: In immune thrombocytopenic purpura (ITP), the primary issue is the immune system mistakenly destroying platelets. Immunosuppressive therapy is often the first line of treatment as it helps reduce the immune response, allowing for increased platelet production and survival.
Option A, splenectomy, is typically considered in chronic cases or when other treatments fail, not as an initial intervention.
Option C, observation only, may be appropriate for mild cases but is not suitable for a platelet count as low as 19,000, where intervention is necessary.
Option D, platelet administration, is ineffective in ITP since the underlying problem is the destruction of platelets, not their production.
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