A client has a platelet count of 9800/mm3 (9800 109/L). What action by the nurse is most appropriate?
Explanation & Rationale
Rationale: A. These are assessments for deep vein thrombosis (DVT), which occurs with increased clotting. However, this client has severe thrombocytopenia (platelet count 9,800/mm³), meaning bleeding, not clotting, is the major concern. B. This is the most appropriate action. A platelet count below 10,000/mm³ places the client at high risk for spontaneous bleeding, even from minor trauma. The nurse should minimize fall risk and prevent any injuries that could cause internal or external hemorrhage. The client should not ambulate independently and should call for assistance before moving to avoid accidents. C. Protective (neutropenic) precautions are indicated for clients with low white blood cell (WBC) counts or neutropenia, not thrombocytopenia. This client’s main risk is bleeding, not infection. D. This would be appropriate for signs of infection or neutropenia, but a low platelet count alone does not indicate infection or the need for cultures.