The nurse has educated a client on precautions to take with thrombocytopenia. What statement by the client indicates a need to review the information?

Choice A rationale This statement indicates a need for further teaching because using enemas, especially commercial or large-volume enemas, can cause trauma to the rectal mucosa, potentially leading to bleeding and hemorrhage in a client with thrombocytopenia (platelet count < 150,000/microL). To prevent bleeding, the nurse should advise against all rectal procedures, including suppositories, enemas, and rectal temperatures, when the platelet count is low, typically < 50,000/microL. Choice B rationale This statement is correct and indicates good understanding. An electric shaver minimizes the risk of nicks and cuts to the skin, which can lead to prolonged bleeding in a client with thrombocytopenia, where insufficient platelets impair the primary hemostatic plug formation. Clients should be instructed to avoid straight-edge razors and other sharp objects. Choice C rationale This statement is correct and indicates good understanding. Eating only soft, non-abrasive foods at moderate temperatures helps prevent trauma to the oral mucous membranes. Extremely hot or cold foods and hard, crunchy, or spicy foods can cause micro-abrasions in the mouth, leading to bleeding that is difficult to control with a low platelet count. Choice D rationale This statement is correct and indicates good understanding. Sports, especially contact sports or activities with a high risk of falls or injury, must be avoided to prevent trauma that could cause internal or external hemorrhage. Clients with thrombocytopenia should be instructed to avoid all strenuous activities and activities with a risk of injury.