The nurse is assigned to a child who has a platelet count of 15,000 per cubic millimeter. The nurse realizes that which of the following is true?
a. A blood thinner such as Coumadin needs to be considered by the physician.
b. There is a serious danger of infection even from normal skin bacteria.
c. This is a normal platelet count, and there is nothing to worry about in regard to platelets.
d. The child has a high risk of spontaneous bleeding, which can be life threatening.
D
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A Incorrect. The addition of an anticoagulant would not be an appropriate intervention, as such medications would place the client at greater risk of bleeding.
B Incorrect. The platelet count is not indicative of signs and symptoms of infection.
C Incorrect. A platelet count of 15,000 is not considered a normal finding.
D Correct. A platelet count of less than 20,000 places the child at a high risk of spontaneous bleeding, a potentially life-threatening condition.
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