The nurse is caring for a 23-year-old patient who was admitted to the hospital with a chief complaint of fatigue and weight loss. The physical examination findings reveal pallor and multiple bruises on his arms and legs. The results of the patient’s laboratory and diagnostic tests indicate acute lymphocytic leukemia with thrombocytopenia. Which of the following nursing diagnosis shall the nurse formulate?

Risk for Injury

Explanation

•The patient has a low platelet count which makes him prone to bleeding, even from minor injuries.

•Thrombocytopenia is a decreased platelet count lower than normal, which is 150,000-400,000/mm³. This makes the patient at risk for injury.

•The other options are nursing diagnoses that are not well supported or addressed in the situation.

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