Difficulty: Medium
Average Score: 74%
Simulated
Passage / Scenario
A child who has sepsis and a critically low platelet countA nurse is admitting a child who has sepsis and a critically low platelet count. Based on this information which of the following precautions should the nurse initiate?
Correct answer
C
Rationale
The correct answer is C: Bleeding precautions. Sepsis can lead to disseminated intravascular coagulation (DIC), causing a critically low platelet count and increasing the risk of bleeding. Bleeding precautions include using atraumatic techniques for procedures, avoiding invasive procedures if possible, and monitoring for signs of bleeding such as petechiae or ecchymosis.
Choice A: Respiratory precautions are not directly related to the child's condition of sepsis with low platelet count.
Choice B: Airborne precautions are used for diseases transmitted through the air like tuberculosis, not for a child with sepsis and low platelet count.
Choice D: Contact precautions are used for direct contact with infected individuals or contaminated surfaces, not specifically for a child with sepsis and low platelet count.
Choice A: Respiratory precautions are not directly related to the child's condition of sepsis with low platelet count.
Choice B: Airborne precautions are used for diseases transmitted through the air like tuberculosis, not for a child with sepsis and low platelet count.
Choice D: Contact precautions are used for direct contact with infected individuals or contaminated surfaces, not specifically for a child with sepsis and low platelet count.