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

For a client with thrombocytopenia, it is crucial to manage any potential bleeding risk effectively due to the low platelet count. The correct intervention is to apply pressure to needlestick sites for an extended period, specifically 10 minutes. This duration allows sufficient time for hemostasis, which is particularly important when the client is at increased risk of bleeding due to a reduced ability to form clots.

Applying pressure for the correct length of time assists in minimizing any bleeding that could occur from the needlestick site, providing a practical approach to care in individuals with thrombocytopenia. This intervention highlights the importance of vigilant monitoring and proactive measures in preventing complications associated with low platelet counts.

Other interventions listed do not align with the immediate needs of a client with thrombocytopenia. Monitoring for WBCs in the urine or assessing core temperatures via a rectal thermometer do not directly address the management of bleeding risks associated with thrombocytopenia. Applying pressure to needlestick sites for a shorter duration, such as 2 minutes, may not be sufficient to ensure effective hemostasis in this at-risk population.