A hospitalized client has a platelet count of 58,000/mm3. What ...

[hbsimmons88]

A hospitalized client has a platelet count of 58,000/mm3. What action by the nurse is best?
 
  a. Encourage high-protein foods.
  b. Institute neutropenic precautions.
  c. Limit visitors to healthy adults.
  d. Place the client on safety precautions.

Question 2

A client presents to the emergency department in sickle cell crisis. What intervention by the nurse takes priority?
 
  a. Administer oxygen.
  b. Apply an oximetry probe.
  c. Give pain medication.
  d. Start an IV line.

[Joy Chen]

Answer to Question 1

ANS: D
With a platelet count between 40,000 and 80,000/mm3, clients are at risk of prolonged bleeding even after minor trauma. The nurse should place the client on safety precautions. High-protein foods, while healthy, are not the priority. Neutropenic precautions are not needed as the client's white blood cell count is not low. Limiting visitors would also be more likely related to a low white blood cell count.

Answer to Question 2

ANS: A
All actions are appropriate, but remembering the ABCs, oxygen would come first. The main problem in a sickle cell crisis is tissue and organ hypoxia, so providing oxygen helps halt the process.

[hbsimmons88]

Thank you

[Joy Chen]

Happy to help you