Final answer:
The following clients are at risk for developing a platelet clot: an acute myocardial infarction client with elevated troponin levels (Option C) and a trauma client who had a splenectomy following injury and laceration of the liver (Option D)
Step-by-step explanation:
Clients with acute myocardial infarction have increased clotting risk due to the body's response to cardiac injury. Elevated troponin levels indicate cardiac damage, which can trigger thrombus formation. Additionally, post-splenectomy clients, like the trauma client described, often experience an increase in platelet count (thrombocytosis), increasing their risk of thrombosis.
Clients such as those experiencing an acute exacerbation of COPD and requiring intravenous steroids (Option A) or a school-aged child prescribed iron supplements for iron deficiency anemia (Option E) are generally not at an inherently increased risk of developing a platelet clot in these given scenarios. While chemotherapy (Option B) for breast cancer clients can lead to thrombocytopenia, which is a decreased platelet count that can bleed rather than clot, certain chemotherapy drugs or cancer itself can increase clotting risk; therefore, an individualized assessment is necessary.
Thus, the correct options are C and D.
Your question is incomplete but most probably your full question was
Which of the following clients are at risk for developing a platelet clot? Select all that apply.
A. A COPD client experiencing an acute exacerbation requiring intravenous steroids
B. A breast cancer client receiving chemotherapy
C. An acute myocardial infarction client with elevated troponin levels
D. A trauma client who had a splenectomy following injury and laceration of the liver
E. A school-aged child prescribed iron supplements for iron deficiency anemia