The nurse is preparing a 7-year-old boy with leukemia for discharge. Which of the following discharge instructions should be included?


•Bruising is a sign of thrombocytopenia, a low platelet count due to under production. This may be a sign of disease relapse.

•Protamine sulfate binds to heparin, destroying its anticoagulant ability. Vitamin K is used in the synthesis of clotting factors. Protamine sulfate and vitamin K have no affect on platelet production or thrombocytopenia.

•Weight gain is a positive outcome, as most patient's with leukemia suffer from weight loss.

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