A client has a platelet count of 25,000/mm3. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Assist with oral hygiene using a firm toothbrush.
b. Give the client an enema if he or she is constipated.
c. Help the client choose soft foods from the menu.
d. Shave the male client with an electric razor.
e. Use a lift sheet when needed to re-position the client.
ANS: C, D, E
This client has thrombocytopenia and requires bleeding precautions. These include oral hygiene with a soft-bristled toothbrush or swabs, avoiding rectal trauma, eating soft foods, shaving with an electric razor, and using a lift sheet to re-position the client.
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