The nurse is planning care for a client who has a platelet count of 30,000/mm3 . Which interven-tion does the nurse include in this client's plan of care?
a. Oxygen by nasal cannula
b. Bleeding Precautions
c. Isolation Precautions
d. Vital signs every 4 hours
B
The normal platelet count ranges between 150,000 and 400,000/mm3 . This client is at extreme risk for bleeding. Although it is necessary to notify the provider, the nurse would first protect the client by instituting Bleeding Precautions. The other interventions are not related to the low platelet count.
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What will be an ideal response?
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