A child has thrombocytopenia secondary to chemotherapy treatments. The nurse should not:
1. Administer intramuscular injections (IM).
2. Perform oral hygiene.
3. Monitor intake and output.
4. Use palpation as a component of assessment.
1
Rationale:
1. When the child is thrombocytopenic (decreased platelets) from chemotherapy, the nurse should not administer IM injections, because of the risk of bleeding.
2. Oral hygiene care should be done with a soft toothbrush.
3. Intake and output should be monitored for any abnormalities.
4. Gentle palpation should still be included in physical assessments unless a Wilms' tumor has been diagnosed or is suspected.
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