A client who is receiving chemotherapy for leukemia has a platelet count of 40,000/mm3 . Which of the following conditions would the nurse suspect?
A) Disseminated intravascular coagulation (DIC)
B) Thrombocytopenia
C) Hemophilia
D) Von Willebrand disease (vWD)
B
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Thrombocytopenia, a stem cell disorder of the bone marrow, is diagnosed when a client's platelet count falls below 50,000/mm3 . It is the most common platelet complication of cancer and its treatments. DIC is a complex and potentially fatal disorder in which clotting occurs in the microvascular system (small clots inside blood vessels) and, at the same time, hemorrhaging develops.
Hemophilia is a sex-linked genetic disorder in which the person's blood is slow to coagulate because of a lack of clotting factor. vWD is a result of a lack of sufficient or poor quality von Willebrand factor, which is required for platelet adhesion.
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