LIP-PLT
A client with DIC develops clinical manifestations of microvascular thrombosis. the nurse should assess the client for: A. hemoptysis B. focal ischemia C. petechiae D. hematuria
focal ischemia
the nurse is preparing to administer plts. the nurse should..
gently rotate the bag
which is a finding associated with internal bleeding with DIC?
increased abdominal girth
A client with thrombocytopenia, secondary to leukemia, develops epistaxis. The nurse should instruct the client to:
sit up right slightly leaning forward
the client with idiopathic thrombocytopenia purpura (ITP) asks the nurse why it is necessary to to take steroids. the nurse should base the reponse on which information?
steroids alter the spleen recognition of PLTS and increase the PLTs
the nurse should instruct the client with a PLT count of less then 150,000 to avoid which activity?
straining when making a bowel movement
a client with thrombocytopenia has developed hemorrhage the nurse should asses for which finding ?
tachycardia
which indicates that a client has achieved the goal of demonstrating deep breathing for an upcoming splenectomty?
takes a deep breath in through nose holds it for 5 seconds and blows out through with pursed lips
PLts should not be administered when ..?
the Plt bag are cold
a client is scheduled for a splenectomy, the LAST thing the nurse should check is
vital signs
what is contraindicated for a client with a DIC ?
warfarin
A HCP prescribes 0.5mg of protamine sulfate for a client who is showing signs of bleeding a 100 unit dose of heparin. the nurse should expect protamine sulfate to be note in how many min?
20 min
a client taking ASA develops prolonged bleeding from a skin injury on the forearm, the nurse should tell the client to do which action first?
apply ice pack for 20 min
the nurse should assess a client at risk for a DIC for which early sign?
bleeding without hx or cause
when a client with thrombocytopenia has severe headache what dies nurse interpret this may indicate?
cerebral bleeding
a client who has splenectomy yesterday has ng tube. the expected outcome of using a ng tube is ...
decrease abdo distention
the nurse should instruct the client with a PLT count of 31,000 to ..
pad sharp surfaces to avoid minor trauma when walking