问题
单项选择题
A client is receiving chemotherapy for cancer. The nurse reviews his laboratory report and notes that he has thrombocytopeni
a. To which nursing diagnosis should the nurse give the highest priorityA. Activity intolerance.B. Impaired tissue integrity.C. Impaired oral mucous membranes.D. Ineffective tissue perfusion (cerebral, cardiopulmonary, GI).
答案
参考答案：D
解析：These are all appropriate nursing diagnoses for the client with thrombocytopenia (reduced platelet count). However, the risk of cerebral and GI hemorrhage and hypotension pose the greatest risk to the client’s physiological integrity.