Question

A patient with immune thrombocytopenic purpura (ITP) has an order for a platelet transfusion. Which information indicates that the nurse should consult with the health care provider before obtaining and administering platelets?

a. Platelet count is 42,000/mL.
b. Petechiae are present on the chest.
c. Blood pressure (BP) is 94/56 mm Hg.
d. Blood is oozing from the venipuncture site.

Answer 1

The nurse should consult with the healthcare provider before obtaining and administering platelets to a patient with immune thrombocytopenic purpura (ITP) if blood is oozing from the venipuncture site.

Step-by-step explanation:

Platelet transfusion is a medical intervention performed to increase the number of platelets in the blood. However, in the case of a patient with immune thrombocytopenic purpura (ITP), it is important for the nurse to consult with the healthcare provider before obtaining and administering platelets. The reason for this is because ITP is a condition characterized by low platelet count and excessive bleeding. Therefore, the correct answer is d. Blood is oozing from the venipuncture site.