The nurse is planning interventions to protect a patient with thrombocytopenia. Which of the following interventions should be included?

Avoid giving injections or suppositories unless necessary.
Initiate fall precautions.
Provide the patient with a soft-bristled toothbrush and avoid flossing.
Teach the patient to file his nails rather than cut them.

Explanation

• A patient with thrombocytopenia is at risk for bleeding. Injections and suppositories should be avoided unless absolutely necessary. If needed, injections should be given with the smallest needle that is appropriate

• Using a soft-bristled toothbrush and avoiding flossing or cutting finger nails will limit bleeding risk

• Fall precautions should be initiated because if the patient falls, he or she is at increased risk for bleeding and any complications that may arise because of it

• Incorrect: Limiting visitors and sick staff members are important interventions for a patient with neutropenia (low WBCs), not thrombocytopenia

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