The correct answer to this question is D. Thrombocytopenia is a deficiency of platelets, or thrombocytes. The deficiency of these platelets leads to an increase in the risk of bleeding. Thrombocytopenia occurs when too few platelets are made by the bone marrow or too many platelets are destroyed.
Thrombocytopenia is common in chemotherapy patients. This is typically a result of the chemotherapy or radiation treatment.
Spontaneous bleeding is increased when thrombocytopenia occurs. While the patient could potentially be diagnosed with any of these, the risk of cerebral and GI hemorrhage pose the greatest risk when compared to the other choices.
Ineffective tissue perfusion: Cerebral, cardiopulmonary, gi-rationale: These are all appropriate nursing diagnoses for the client with thrombocytopenia. However, the risk of cerebral and gi hemorrhage and hypotension pose the greatest risk to the physiological integrity of the client.