The nurse is caring for a client with immune thrombo-cytopenic purpura (ITP) who has a prescription for a platelet transfusion. Which of the following client information indicates that the nurse should consult with the health care provider before administering platelets?
A)The platelet count is 42 * 109/L.
B)Blood pressure is 94/56 mm Hg.
C)Blood is oozing from the venipuncture site.
D)Petechiae are present on the chest and back.

Question

Quizplus · Accepted Answer

Platelet transfusions are not usually indicated until the platelet count is below 10 * 109/L unless the client is actively bleeding, so the nurse should clarify the order with the health care provider before giving the transfusion. The other data all indicate that bleeding caused by ITP may be occurring and indicate that the platelet transfusion is appropriate.

The Nurse Is Caring for a Client with Immune Thrombo-Cytopenic