The patient with AML has a platelet count of 95,000 . What interventions should be included in the plan of care for this patient? (Select all that apply.)
a. Observe for melena and hematuria.
b. Brush and floss at least twice daily.
c. Measure abdominal girth daily.
d. Apply ice and pressure to puncture sites.
e. Use electric razor.
A, C, D, E
A low platelet makes the patient prone to excessive bleeding. The nurse should monitor for bleeding into the stool and urine. Soft toothbrushes will decrease the likelihood of the gums bleeding. An increase in the abdominal girth will alert the nurse to the possibility of internal bleeding. Ice and pressure on puncture sites aid in stopping bleeding. An electric razor reduces the chance of the patient being cut during shaving.
You might also like to view...
A client has suffered a mild stroke. Which type of nursing diagnosis would reflect the client's health status?
a. wellness c. perceived b. risk d. actual
What diagnostic test might be contraindicate for a patient who has a pacemaker?
a. Computed tomography (CT) b. Electromyography (EMG) c. Magnetic resonance imaging (MRI) d. Electroencephalography (EEG)
The nurse is preparing to care for a Native-American patient who has hypertension. The nurse understands that which antihypertensive medication would be most effective in this patient?
a. Acebutolol (Sectral) b. Captopril (Capoten) c. Carteolol HCl (Cartrol) d. Metoprolol (Lopressor)
A patient admitted with an elevated ST-segment myocardial infarction on oxygen per nasal can-nula for his diagnosed influenza is complaining of shortness of breath with an oxygen saturation of 88%
The albuterol treatment provides no relief. What is the next best action by the RN? a. Increase the oxygen concentration and recheck the saturation after 10 minutes. b. Obtain a 12-lead ECG. c. Notify the health care provider. d. Call the patient's wife to have her sit with him to calm him.