This question was created from NURS 6560 final exam.doc

QIIESLIIHI I.) S. R. is a 51-year-old male patient who is being evaluated for fatigue. Over the last few mon
he has noticed a marked decrease in activity tolerance. Physical examination reveals a variet
ecchymoses of unknown origin. The CBC is significant for a Hgb of 10.1 g/dL, an MCV of ‘
fL and a platelet count of 65,000pr; the remainder of the CBC is normal. Coagulation studi are normal, but bleeding time is prolonged. The AGACNP recognizes that initial manageme1
this patient will include: A. Avoidance of elective surgery and nonessential medications B. Prednisone 60 mg daily until platelets normal
C. Monoclonal antibody therapy such as rituximab o o o ‘3 D. Splenectomy