The nurse is caring for a client with non-Hodgkin's lymphoma who develops a platelet count of 38 * 109/L during chemotherapy. Which of the following actions should the nurse implement based on this finding?
A)Provide oral hygiene every 2 hours.
B)Check all stools for occult blood.
C)Assess temperature every 4 hours.
D)Encourage fluids to 3 000 mL/day.

Question

Quizplus · Accepted Answer

Because the client is at risk for spontaneous bleeding, the nurse should check stools for occult blood. A low platelet count does not require an increased fluid intake. Oral hygiene is important, but it is not necessary to provide oral care every 2 hours. The low platelet count does not increase risk for infection, so frequent temperature monitoring is not indicated.

The Nurse Is Caring for a Client with Non-Hodgkin's Lymphoma