NCLEX TOPIC: Splenectomy

What is it?

Surgery to remove a diseased or damaged spleen.

Why is this procedure performed?

The spleen is removed following rupture due to (i) acquired hemolytic anemia, (ii) trauma with uncontrolled bleeding, (iii) tumor or (iv) idiopathic thrombocytopenia purpura (ITP)

TRUE or FALSE

With elective spleen removal, patients are given vaccines against certain bacteria prior to the surgery. With emergency spleen removal, vaccines are given to the patient following surgery. Answer: TRUE

The spleen plays a role in immunity against bacterial infections. A splenectomy makes a patient more vulnerable to infection.
Answer: TRUE

Patients who have had a splenectomy should seek medical attention for even seemingly minor illnesses, such as sinus infections or sore throats. They may require antibiotics.
Answer: TRUE