A patient has a platelet count of 18,000 per microlitre and reports bleeding from the gums. Which nursing action is most appropriate?
Correct answer: A. Use a soft toothbrush and avoid trauma
- A. Use a soft toothbrush and avoid trauma
- B. Give an intramuscular injection using a fine needle
- C. Encourage aspirin for gum discomfort
- D. Apply vigorous massage to bruised areas
Explanation
Severe thrombocytopenia increases the risk of bleeding, so the nurse should prevent trauma and use gentle oral care. Intramuscular injections, aspirin and vigorous massage can increase bleeding or tissue injury.
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About Blood and Immunity
Blood and immunity covers plasma, red blood cells, white blood cells, platelets, haemoglobin, blood groups and haemostasis. It explains innate and adaptive defenses, antibodies, lymphocytes, inflammation, vaccination and immune memory, with a distinction between active and passive immunity and between antigen and antibody.
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