Question

The PN is caring for a client receiving chemotherapy who has thrombocytopenia..important to include in the nursing care plan?

Answer 1

When caring for a client with thrombocytopenia due to chemotherapy, it is important to include measures in the nursing care plan to ensure safety and well-being. These measures include monitoring platelet count, preventing injuries, administering platelet transfusions when necessary, monitoring for signs of bleeding, and educating the client.

Step-by-step explanation:

Thrombocytopenia is a condition characterized by a low platelet count in the blood, which can be a side effect of chemotherapy. When caring for a client with thrombocytopenia, it is important to include certain measures in the nursing care plan to ensure their safety and well-being. These measures include:

1. Monitor platelet count: Regularly assess the client's platelet count to identify any further decrease or risk of bleeding.
2. Prevent injuries: Implement fall prevention measures, such as using bed alarms, providing nonslip footwear, and keeping the environment free of hazards.
3. Administer platelet transfusions: When the platelet count is critically low or the client is experiencing bleeding, platelet transfusions may be necessary.
4. Monitor for signs of bleeding: Observe for signs such as petechiae, ecchymosis, excessive bruising, and bleeding from the gums, nose, or other sites.
5. Educate the client: Teach the client about the importance of avoiding activities that may increase the risk of injury or bleeding, such as contact sports or using sharp objects.