medium · NCLEX-RN Physiological Adaptation
A client with acute myeloid leukemia (AML) develops DIC. The latest labs show: Platelets 18,000/mm3, Hemoglobin 7.2 g/dL, and D-dimer > 5,000 ng/mL.
Which action should the RN include in the immediate plan of care?
- Place the client in a high-Fowler position and encourage vigorous coughing to clear the airway.
- Prepare for a scheduled bone marrow aspiration to identify the leukemia's progression.
- Encourage the client to use a firm-bristled toothbrush to maintain oral hygiene during bleeding.
- Implement strict bleeding precautions and avoid all intramuscular injections, for this client.
Sign up free to see the explanation and track your rank →
More NCLEX-RN Physiological Adaptation practice
- Which action must the nurse perform first?
- Which task is most appropriate for the RN to delegate to a competent Unlicensed Assistive
- How should the nurse interpret the PaCO2 value?
- During the evaluation of a client following naloxone administration for opioid-induced ven
- Which laboratory result is most directly linked to the mechanism of worsening confusion?
- Which intervention should the nurse anticipate first?
- Which finding is the most concerning sign of impending respiratory failure?
- Which ABG finding indicates that the client is experiencing acute-on-chronic respiratory f