When a child has thrombocytopenia, the nurse must do which of the following in regard to any intramuscular (IM) injections or venipunctures ordered?
a. Administer any IM or intravenous (IV) medication very slowly to avoid problems.
b. Apply pressure to the site for 10 minutes after administration.
c. Apply ice to any IM or IV site for 15 minutes each hour.
d. Avoid aspirating after injection, and avoid massaging the site.
B
Feedback
A Incorrect. The slow administration of IM and IV medications is not identified as being a necessary intervention.
B Correct. Thrombocytopenia, which results from a decrease in the number of platelets, places the pediatric client at risk for bleeding. Therefore, it will be necessary for the nurse to apply pressure to the injection site for at least 10 minutes following the administration of the medication.
C Incorrect. Ice would not be necessary to the IM or IV site.
D Incorrect. Massaging the site would be contraindicated, as doing so may promote bleeding at the site.
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