The nurse is caring for a client who has autoimmune thrombocytopenic purpura. Which intervention does the nurse implement for this client?
a. Avoid intramuscular injections.
b. Administer prescribed anticoagulants.
c. Infuse intravenous normal saline.
d. Monitor for an increase in temperature.
A
With autoimmune thrombocytopenic purpura, the total number of circulating platelets is greatly reduced. As a result of the decreased platelet count, the client is at great risk for bleeding, and intramuscular injections should be avoided. Anticoagulants should not be given. A low platelet count is not treated with saline, and thrombocytopenia will not cause a change in body tempera-ture.
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