A child is diagnosed with thrombocytopenia secondary to chemotherapy treatments. Which action by the nurse is the most appropriate?
1. Administer intramuscular injections (IM).
2. Perform oral hygiene.
3. Monitor intake and output.
4. Use palpation as a component of assessment.
Correct Answer: 1
Rationale: When the child is thrombocytopenic (decreased platelets) from chemotherapy, the nurse should not administer IM injections because of the risk of bleeding. Oral hygiene care should be done with a soft toothbrush and intake and output monitored for any abnormalities. Gentle palpation should still be included in physical assessments.
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