A nurse is caring for a client with idiopathic thrombocytopenia purpura. Which of the following interventions should be performed when caring for this client?
A) Instruct the client to avoid the use of an electric razor.
B) Monitor the client for an increase in blood pressure.
C) Inform the client about the adverse effects of cytotoxic agents.
D) Watch the client for signs of unusual pallor.
D
Feedback:
The nurse should watch the client for signs of unusual pallor. The use of an electric razor should be encouraged to avoid the risk of injury. The nurse should monitor the client for a decrease, instead of an increase, in blood pressure. Cytotoxic agents are used for the treatment of cancer and sickle cell disease and not for idiopathic thrombocytopenia purpura; hence, the client need not be informed about these drugs.
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