medium · NCLEX-RN physiological
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.
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