In the care of a patient with thrombocytopenia, which action reduces bleeding risk?

• A. Schedule frequent venipunctures to monitor bleeding.
• B. Use a sharp knife for venipuncture.
• C. Use a soft toothbrush and avoid flossing near gums to reduce bleeding risk.
• D. Ignore oral hygiene.

Answer: (C)

When platelets are low, even small injuries can lead to noticeable bleeding. The best way to reduce bleeding risk is to minimize trauma to mucosal tissues. A soft toothbrush causes less gum abrasion and bleeding than a firm brush, and avoiding flossing near the gums further reduces the chance of gum bleeding in thrombocytopenia. In contrast, frequent venipunctures, using a sharp knife for procedures, or ignoring oral hygiene would all increase the potential for bleeding or trauma. Gentle, careful oral care helps protect fragile mucosal surfaces and lowers bleeding risk.