When checking laboratory values, the nurse notes the client's platelet count is 100,000 mm3. The nurse should include which action in the client's plan of care?
1. Use strict sterile technique with wound care in order to prevent infection.
2. Instruct the client to increase her intake of vitamin C to assist in blood coagulation.
3. Hold pressure over the injection sites to ensure that clotting has occurred.
4. Encourage the client to increase ambulation to prevent a deep venous thrombosis.
Answer: 3
1. A reduced WBC increases risk of infection.
2. Vitamin K, not C, is needed for clot formation.
3. A platelet count of 100,000 is lower than the norm of 150,000-450,000, putting the client at risk of bleeding secondary to decreased clotting ability.
4. The client is at risk for bleeding, not clot formation.
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