Editing Reduction of Risk Potential – RN Practice Questions (section)

==Question 5==
''Select all that apply.'' A client receiving chemotherapy has a platelet count of 18,000/mm3. Which interventions should the nurse include in the plan of care?
# Provide an electric razor rather than a safety razor.
# Avoid rectal temperature measurement and rectal suppositories.
# Apply pressure to venipuncture sites for an extended period.
# Administer ibuprofen as needed for mild headache.
# Instruct the client to use a soft-bristled toothbrush and avoid flossing that causes gum trauma.

'''Answer:''' Options 1, 2, 3, and 5.

''Rationale:'' A platelet count of 18,000/mm3 carries a risk of spontaneous bleeding, so full bleeding precautions apply: no sharp razors, no rectal trauma, prolonged pressure after any puncture, and gentle oral care. Option 4 is contraindicated because nonsteroidal anti-inflammatory drugs and aspirin impair platelet function and compound the bleeding risk; acetaminophen is generally the preferred analgesic in this situation, though fever in a client on chemotherapy must be reported rather than simply treated.