Difficulty: Medium
Average Score: 94%
Simulated
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct answer
C
Rationale
Petechiae indicate thrombocytopenia, requiring bleeding precautions like using soft toothbrushes. Airborne precautions, blood typing, and avoiding IV pain meds are not relevant.