The nurse is caring for a newly admitted patient who has been receiving chemotherapy as an outpatient. The nurse notes that the patient's gums and nose are bleeding. Laboratory test results confirm severe thrombocytopenia
The nurse should expect the prescriber to order
a. vitamin K.
b. erythropoietin (Epogen).
c. a unit of packed red blood cells.
d. platelet infusion.
ANS: D
Platelet infusion is the mainstay of treatment for patients with severe thrombocytopenia. Oprelvekin may also be used, but it is not offered as an option in this question.
Vitamin K is not indicated for thrombocytopenia.
Erythropoietin and packed red blood cells are indicated for anemia, but the scenario does not indicate that the problem is anemia.
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