A female client with cancer is receiving chemotherapy and develops thrombocytopenia. The nurse identifies which intervention as the highest priority in the nursing plan of care?

A. Monitoring temperature
B. Ambulation three times daily
C. Monitoring the platelet count
D. Monitoring for pathological fractures


Answer: C
Explanation: Thrombocytopenia indicates a decrease in the number of platelets in the circulating blood. A major concern is monitoring for and preventing bleeding. Option A elates to monitoring for infection, particularly if leukopenia is present. Options B and D, although important in the plan of care, are not related directly to thrombocytopenia.

Nursing

You might also like to view...

The nursing instructor is talking with her class of students about the female reproductive system. A student is trying to understand the role of progesterone in the body. What nonreproductive affect does progesterone have on the body?

A) Decreased body temperature B) Decreased appetite C) Anti-insulin D) Increased uterine motility

Nursing

What is responsible for the greatest reduction in maternity care costs over the last 10 years?

a. Decreased hospital stay b. Reduction in intervention c. Use of nurse midwives for underserved populations d. Referral of high-risk women to specialists

Nursing

Which outcome should receive priority in the care plan for a patient who has had a paracentesis to treat ascites?

1. The patient will have normal bilateral breath sounds. 2. The patient's spleen will not rupture. 3. The patient's respiratory effort will be lessened. 4. The patient will not manifest symptoms of hepatomegaly.

Nursing

Which is a method of statistical control?

A) On-protocol analysis B) Analysis of covariance C) Pair matching D) Counterbalancing

Nursing