Medical Surgical Seizures #3

Question

A client is taking felbamate for seizures and displays symptoms of pancytopenia based on which assessment findings? Select all that apply.

Answers

  1. Sore throat
    • Rationale:

      This answer is correct because a sore throat is a symptom of decreased white blood cells (leukopenia), one of the conditions of pancytopenia. Pancytopenia means a person has a lower than normal level of all three blood cells: red blood cells (RBCs), white blood cells (WBC), and platelets. If the white blood cells are decreased, called leukopenia, the client is at risk for infection. The nurse should place this client with severe leukopenia in reverse isolation and assess and report any signs of infection, including sore throat, and elevated temperature. Pancytopenia is a very serious condition since the client experiences anemia, infection risks, and risks of bleeding.

  2. Epistaxis
    • Rationale:

      This answer is correct because epistaxis is a symptom of decreased thrombocytes or platelets, called thrombocytopenia, one of the conditions of pancytopenia. Pancytopenia means a client has a lower than normal level of all three blood cells: red blood cells (RBCs), white blood cells (WBC), and platelets. Thrombocytopenia, or decreased thrombocytes or platelets cause bleeding. The nurse should assess for epistaxis, bleeding gums, rectal bleeding, and bruising, etc. Pancytopenia is a very serious condition since the client experiences anemia, infection risks, and risks of bleeding.

  3. Pale skin
    • Rationale:

      This answer is correct because pale skin is a symptom associated with anemia that is part of the condition. Pancytopenia means a client has a lower than normal levelof all three blood cells: red blood cells (RBCs), white blood cells (WBC), and platelets. Pancytopenia is a very serious condition since the client experiences anemia, infection risks, and risks of bleeding.

  4. Gingival hyperplasia
    • Rationale:

      This answer is not correct because gingival hyperplasia is a condition not associated with pancytopenia. It is a side effect of medications, such as phenytoin. Bleeding gums are associated with thrombocytopenia, a condition related to pancytopenia. When a client has pancytopenia, it means the client has a lower than normal level of all three blood cells: red blood cells (RBCs), white blood cells (WBC), and platelets. Pancytopenia is a very serious condition since the client experiences anemia, infection risks, and risks of bleeding.

  5. Shortness of breath
    • Rationale:

      This answer is correct because red blood cells provide oxygen rich blood. If RBCs are low due to pancytopenia, this will cause shortness of breath.

Overview

Pancytopenia happens when a client has a lower than normal level of all three blood cells: red blood cells (RBCs), white blood cells (WBC), and platelets. It is a very serious condition since the client experiences anemia, infection risks, and risks of bleeding.

Explanation

Learning Outcomes

Pancytopenia happens when a client has a lower than normal level of all three blood cells: red blood cells (RBCs), white blood cells (WBC), and platelets. This is usually the result of a condition affecting the bone marrow, where the blood cells are produced. If the red blood cells are decreased, the client has anemia and symptoms will include fatigue, paleness, and shortness of breath. If the white blood cells are decreased, which is called leukopenia, the client is at risk for infection. The nurse should place this client with severe leukopenia in reverse isolation and assess and report any signs of infection, including sore throat, and elevated temperature. Thrombocytopenia or decreased thrombocytes, or platelets causing bleeding. The nurse should assess for epistaxis, bleeding gums, rectal bleeding, and bruising, etc. Pancytopenia is a very serious condition since the client experiences anemia, infection risks, and risks of bleeding.

Test Taking Tip

Understanding word parts can help the student understand what pancytopenia is. “Pan” means all or widespread. The root word of “cyto” means cell(s) and “penia” means deficiency. So, pancytopenia means a deficiency of all blood cells.

Video Rationale