Cancer and Oncology Q 50

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For a female client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the plan of care?

  

    A. Inspecting the skin for petechiae once every shift

    B. Placing the client in strict isolation

    C. Providing for frequent rest periods

    D. Administering aspirin if the temperature exceeds 102° F (38.8°C)

    

    

Correct Answer: A. Inspecting the skin for petechiae once every shift

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Option A: Because thrombocytopenia impairs blood clotting, the nurse should inspect the client regularly for signs of bleeding, such as petechiae, purpura, epistaxis, and bleeding gums.

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Option B: Strict isolation is indicated only for clients who have highly contagious or virulent infections that are spread by air or physical contact.

Option C: Frequent rest periods are indicated for clients with anemia, not thrombocytopenia.

Option D: The nurse should avoid administering aspirin because it may increase the risk of bleeding.

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