The nurse is caring for a patient who is taking radiation treatments. The patient has a platelet count of 100,000/mm3 . Which action is most important for the nurse to add to the patient's care plan?
a. Instruct the patient to change positions slowly.
b. Remove the clutter from the patient's room.
c. Remove the fresh orange from the pa-tient's meal tray.
d. Limit the number of visitors in the room at a time.
B
This patient is thrombocytopenic (low platelet count) and is at an increased risk for bleeding. A cluttered room increases the risk for falls, and a fall could be particularly dangerous for this pa-tient. Changing positions slowly is indicated in the patient with orthostatic hypotension. Remov-ing the fresh orange from the patient's tray and limiting visitors are infection control measures for the patient on neutropenic precautions.
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