A patient is receiving chemotherapy for cancer. The nurse reviews the laboratory data and notes that he has thrombocytopenia. Which nursing diagnosis should be given the highest priority?
A) Activity intolerance
B) Impaired tissue integrity
C) Impaired oral mucous membranes
D) Ineffective tissue perfusion (cerebral, cardiopulmonary, GI)
Ans: D
Feedback: These are all appropriate nursing diagnoses for the patient with thrombocytopenia (reduced platelet count); however, cerebral and GI hemorrhage and hypotension pose the greatest risk to the patient's physiologic integrity.
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