National Physical Therapy Examination (NPTE) Practice Exam

For a patient with a platelet count of 25,000 cells/mm3, which intervention should be prioritized?

1. Log roll training and breathing exercises

2. Progressive resistance exercises and infection control

3. Bicycling and LE stretching

4. Patient education on fall prevention and progressive ambulation

The correct answer is: Patient education on fall prevention and progressive ambulation

In a patient with a low platelet count of 25,000 cells/mm³, there is a significant risk for bleeding complications. This threshold indicates thrombocytopenia, which necessitates caution in activities that could result in injury or bleeding. Prioritizing patient education on fall prevention and progressive ambulation aligns well with the goal of minimizing risks associated with low platelet levels. Implementing fall prevention strategies helps to ensure that the patient is aware of potential hazards, thereby reducing the likelihood of falls that could lead to serious bleeding. Additionally, progressive ambulation helps to maintain mobility without over-exerting the patient or putting them at risk of falls. This carefully planned approach allows for safe movement within the confines of the patient's capabilities and condition. Other interventions, while beneficial in general rehabilitation processes, could lead to higher risks of falls or trauma. For instance, log roll training and breathing exercises might not be as effective due to the potential for falls during movement. Progressive resistance exercises could increase the risk of bruising or bleeding, and activities like bicycling and lower extremity stretching might endanger the patient, given the risk associated with falls or collisions. Thus, focusing on education and ambulation is a prudent and safe approach given the patient's platelet count.