A 42-year-old female has thrombocytopenia with a platelet count of 75,000. The nurse should

  1. monitor for bleeding.
  2. place the client on neutropenic precautions.
  3. limit visiting hours.
  4. encourage a diet high in iron.
Number 1 is correct.
Rationale: A client with low platelet counts (thrombocytopenia) is at risk for bleeding, and the nurse should monitor for bruising, nosebleeds, blood in the urine or stool, and petechia. Neutropenic precautions would be utilized if the client had a low white blood cell count. Visiting hours do not need to be restricted. While adequate iron should be encouraged, it is not the best nursing intervention.