A nurse is providing care to a child who has a new diagnosis of immune thrombocytopenia. Which of the following information regarding implications of the diagnosis should the nurse include in the discharge instructions?
Explanation & Rationale
A. Children with a history of thrombocytopenia have a higher incidence of bleeding: Immune thrombocytopenia (ITP) causes a reduced platelet count, increasing the child’s risk for bruising, nosebleeds, and other bleeding events. Education on monitoring for signs of bleeding is essential for safe discharge. B. Children with immune thrombocytopenia have a lower risk of bleeding: ITP decreases platelet counts, which increases, rather than decreases, the risk of bleeding, making this statement inaccurate. C. Children with immune thrombocytopenia should not partake in physical activity: While precautions should be taken to avoid activities with high risk of trauma, children can often engage in age-appropriate physical activity under guidance, rather than complete restriction. D. Thrombocytopenia is a chronic disease in children: Most cases of ITP in children are acute and self-limiting, resolving within months, so labeling it as chronic is inaccurate in most pediatric cases.