A nurse is planning care for a client who has thrombocytopenia. Which of the following actions should the nurse include?

Rationale: A. Thrombocytopenia places the client at high risk for bleeding due to a decreased platelet count. Straining during bowel movements can lead to rectal bleeding or hemorrhoids. Stool softeners help prevent constipation and reduce the need for straining, thereby decreasing the risk of bleeding complications. B. Flossing can cause trauma to the gums and lead to bleeding in a client with thrombocytopenia. Oral care should be gentle, using a soft-bristled toothbrush and avoiding flossing unless specifically approved based on platelet levels. C. Avoiding raw vegetables is generally a precaution for immunocompromised clients to reduce infection risk, not specifically for thrombocytopenia. While some oncology clients may have both risks, thrombocytopenia alone does not require dietary restrictions related to raw foods. D. Removing fresh flowers is a precaution for immunocompromised clients to reduce exposure to fungal spores and bacteria. It is not a specific intervention for thrombocytopenia, which is primarily concerned with bleeding risk rather than infection risk.