What should a nurse avoid when caring for a client with thrombocytopenia?

In the context of caring for a client with thrombocytopenia, it is important to minimize the risk of bleeding. Flossing can lead to gum bleeding, which is a significant concern for patients with low platelet counts. Maintaining oral hygiene is critical, but the method of flossing should be reconsidered to avoid trauma to the gums, which can easily bleed in individuals with thrombocytopenia. This highlights the need for alternative methods of oral hygiene that do not pose a risk for bleeding.

On the other hand, monitoring platelet levels is essential for assessing the severity of thrombocytopenia and guiding treatment. Educating the client about fall precautions is also crucial, as individuals with low platelet counts are at increased risk for bleeding injuries from falls. Administering blood transfusions can sometimes be necessary and appropriate depending on clinical circumstances and patient needs, as these can help raise both platelet counts and overall blood volume.