Answer: A - The nurse should relay the results to the physician; this is below the normal range of a platelet count which is 50,000/mm3. Bleeding and petechiae usually occur when the platelet level drops below 20,000/mm3. Plan of care to prevent spontaneous bleeding, which includes transfusion of fresh frozen plasma, should be done when the platelet count results read 5000/mm3 and below.

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NCLEX-RN

Category - Reduction of Risk

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A nurse reviews the most recent laboratory result of a client who is assigned to her care. The nurse notes that the platelet count of a client is 40,000/mm³. Which of the following is the most effective action of the nurse?

Relay the results to the physician.
Nothing, this is within the normal criteria.
Establish a plan of care focused on preventing spontaneous bleeding.
Anticipate transfusion of fresh frozen plasma.

Explanation

Answer: A - The nurse should relay the results to the physician; this is below the normal range of a platelet count which is 50,000/mm³. Bleeding and petechiae usually occur when the platelet level drops below 20,000/mm³. Plan of care to prevent spontaneous bleeding, which includes transfusion of fresh frozen plasma, should be done when the platelet count results read 5000/mm³ and below.

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