Pediatric ATI Practice Exam

What should a nurse consider when caring for a child receiving chemotherapy with a low platelet count?

1. Ensure frequent physical activity

2. Implement isolation measures during treatment

3. Advise on activities that minimize risk for injury

4. Monitor for signs of depression

The correct answer is: Advise on activities that minimize risk for injury

When caring for a child receiving chemotherapy who has a low platelet count, advising on activities that minimize the risk for injury is crucial. A low platelet count, also known as thrombocytopenia, significantly increases the risk of bleeding and bruising. For this reason, it's important to guide the child and their caregivers toward activities that allow for safe play and interaction without excess physical strain or harm. This may include avoiding contact sports, roughhousing, or any activity that could lead to falls, cuts, or bruises. In this context, promoting safer activities supports the child’s overall well-being and helps prevent complications related to their treatment. Educating the caregivers on monitoring for any signs of bleeding, such as unusual bruising, blood in urine or stool, or prolonged bleeding from small cuts, is also an essential part of care. While physical activity can be beneficial for overall health, in this specific scenario, the focus should be on maintaining safety due to the child's vulnerable state. Isolation measures, while relevant in some situations involving immunocompromised children, primarily depend on specific risks and are not directly linked to a low platelet count alone. Monitoring for signs of depression is also important in long-term care but does not address the immediate risks associated with low platelet counts