The nurse questions which activity for the client with thrombocytopenia?
a. Application of warm compresses to bruises
b. Cleaning teeth with a soft-bristled brush
c. Taking acetaminophen (Tylenol) for pain
d. Using stool softeners daily for constipa-tion
A
Ice should be applied to areas of bruising or trauma to decrease bleeding. Warm compresses would lead to vasodilation and potentially to more bleeding. It is important to implement meas-ures to decrease the risk of bleeding. A soft-bristled toothbrush decreases trauma to gums, which could cause bleeding. Straining at the stool could increase risk for rectal bleeding, so stool sof-teners may be prescribed. Acetaminophen does not affect platelet function and bleeding as do aspirin products.
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