An 18-month-old child is diagnosed with insufficient platelets. What should the nurse instruct the parents to reduce the risk of the child bleeding when at home? (Select all that apply.)
A) Check that all toys have soft corners.
B) Engage in limited amounts of rough play each day.
C) Ensure mouth care is performed with a soft toothbrush.
D) Do not apply Band-Aids or adhesive tape onto the skin.
E) Pad the side and crib rails on the bed at home to prevent bruising.
A, C, D, E
Feedback:
To prevent bleeding in the child with insufficient platelets, the nurse should instruct the parents to check that all toys have soft corners so no skin scratches occur. Mouth care should only be done with a soft toothbrush so that gum excoriation does not occur. No adhesives should be applied to the skin because the skin can tear during the removal of these items. The bed and crib rails should be padded to ensure the child does not become bruised while sleeping. All rough play is to be avoided because this can lead to an accidental injury and subsequent bleeding.
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