What intervention should a nurse include in the care plan for a client with thrombocytopenia?

In the context of managing a client with thrombocytopenia, applying pressure to needlestick sites for a minimum of 10 minutes is an essential intervention. Thrombocytopenia is characterized by a decreased platelet count, which significantly impacts the blood's ability to clot. Patients with this condition are at a heightened risk of bleeding, even from minor procedures like needlestick venipunctures.

By applying pressure to the site for an extended period, the nurse helps minimize the risk of bleeding complications and promotes hemostasis. This intervention is critical in preventing excessive bleeding and ensuring that the blood vessels seal properly after such an invasive procedure. Proper technique, including duration of pressure application, is vital in maintaining patient safety and promoting recovery.

In contrast, the other options do not directly address the immediate safety concerns related to the decreased platelet count. Assessing core temperatures via a rectal thermometer may be useful for other health assessments, but it does not specifically relate to managing thrombocytopenia. Measuring abdominal girth is not relevant to thrombocytopenia management and is more applicable in conditions such as ascites or abdominal fluid retention. Monitoring for the presence of white blood cells (WBCs) in the urine is necessary for evaluating other potential issues, such as