The patient is admitted with anemia caused by blood loss and thrombocytopenia.His platelet count is 22,000/microliter.The patient is scheduled for a transfusion of RBCs and a transfusion of platelets.The nurse should:

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When the patient's blood does not clot because of thrombocytopenia,administration of RBCs before platelets will result in RBC loss from disrupted vascular structures.Platelets should be given first.Local therapies to stop bleeding are used when systemic anticoagulation is necessary for treatment of another health condition (e.g.,myocardial infarction,ischemic stroke,or pulmonary embolism).Local procoagulants act by direct tissue contact and initiation of a surface clot.

The Patient Is Admitted with Anemia Caused by Blood Loss