Which of the following clusters of symptoms would lead the nurse to suspect a child has immune thrombocytopenic purpura (ITP)?
a. Multiple infections; bruising; abnormal bone marrow aspiration
b. Lower extremity that is warm to touch, edematous, and painful
c. Spontaneous nosebleeds, bruising, and petechiae
d. Increased platelet count; recent-onset ve-nous thrombosis
ANS: C
Nosebleeds, bruising, and petechiae are signs of a lack of clotting due to low platelets and ITP. The symptoms associated with ITP are not associated with infections, warm extremities that are edematous and painful, or an increased platelet count.
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