A client has a platelet count of 9,000/mm3. What condition should the nurse monitor for?

A platelet count of 9,000/mm³ is significantly lower than the normal range, which typically falls between 150,000 and 450,000/mm³. This condition, known as thrombocytopenia, poses a high risk for spontaneous bleeding due to insufficient platelets needed for clotting. Patients with such a low platelet count may experience symptoms like easy bruising, petechiae, purpura, or even spontaneous bleeding from mucosal surfaces (such as the gums or nose) without any apparent injury.

Monitoring for spontaneous bleeding is critical in this situation because it can lead to serious complications. In patients with extremely low platelet counts, even minor traumas or invasive procedures can result in significant bleeding. Consequently, vigilance regarding signs of bleeding becomes a top priority in the nursing care plan to ensure timely interventions can be implemented to prevent further complications.

The other conditions listed are not directly related to the low platelet count. For example, oliguria is concerning for kidney function but is not a direct consequence of thrombocytopenia. Similarly, while hyperactive deep tendon reflexes and infection can indicate other health issues, they are not typically associated with very low platelet counts. Thus, monitoring for spontaneous bleeding is the most appropriate focus in this