Through a routine complete blood count, a patient is found to have a platelet count of 90,000/mcL. The nurse realizes that which of the following should be done for this patient?

Question

1. limit the ingestion of green leafy vegetables
2. implement bleeding precautions
3. restrict fluids
4. monitor urine output

Answer 1

2

Rationale: Platelets play a crucial role in hemostasis or blood clotting. Since the normal platelet count in an adult is 150,000 to 400,000/mcL, a count of 90,000/mcL means the patient is prone to bleeding. Bleeding precautions should be implemented for this patient. Green leafy vegetables contain vitamin K which is needed by the liver to form coagulation factors. Since these factors are needed for the coagulation cascade, vitamin K should not be limited in this patient. There is no evidence to suggest that fluids should be restricted for this patient. There is also no evidence to monitor urine output for this patient.