A nurse is collecting data from a client who has thrombocytopenia. The nurse should identify that which of the following findings increases the client's risk for injury?
Explanation & Rationale
A. Increased intake of green, leafy vegetables does not inherently increase the risk for injury in clients with thrombocytopenia. In fact, these vegetables can provide essential vitamins and nutrients. However, clients may need to monitor their intake of vitamin K if they are on anticoagulant therapy, but this does not directly correlate with injury risk related to thrombocytopenia. B. Wears a face mask around others is a precautionary measure typically used to prevent infection, especially in immunocompromised clients. This action does not increase the risk for injury; instead, it helps protect the client from potential pathogens. C. Uses a firm-bristled toothbrush increases the risk for injury in clients with thrombocytopenia. A firm-bristled toothbrush can cause gum irritation and bleeding due to low platelet counts, which can lead to prolonged bleeding and increase the risk of oral injuries. Soft-bristled toothbrushes are recommended to minimize the risk of bleeding. D. Sleeps 8 to 10 hr per night is a healthy behavior that supports overall well-being and recovery. Adequate sleep can help the body heal and does not increase the risk for injury in clients with thrombocytopenia.