OSSSC Nursing Officer-2021
Applied Physiology
Easy

The normal platelet count in human blood is about:

Appeared in: OSSSC Nursing Officer-2021

Explanation

  • Platelets, or thrombocytes, are essential for blood clotting and wound healing.
  • The normal range for platelets in a healthy adult is widely accepted as 150,000 to 450,000 per cubic millimeter (mm3) or microliter (μL) of blood.
  • The option 150,000-350,000/mm3 falls squarely within this established normal range, representing a healthy count for effective hemostasis.
  • Counts outside this range can indicate either a bleeding risk (thrombocytopenia) or a clotting risk (thrombocytosis).

Why Other Options Were Wrong

  • Option A: This range (70,000-90,000/mm3) is below the lower limit of normal, indicating moderate thrombocytopenia, which poses a risk of bleeding.
  • Option C: The lower end of this range (50,000/mm3) is critically low and signifies severe thrombocytopenia, which carries a high risk of spontaneous bleeding. A normal range cannot include such a low value.
  • Option D: This range (4,000-11,000/mm3) represents the normal count for White Blood Cells (WBCs), which are part of the immune system, not platelets.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Knowing Normal laboratory values - Platelet count helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • Nurses must be familiar with normal platelet counts to identify patients at risk for bleeding or clotting. This is crucial for pre-operative assessments, monitoring patients on chemotherapy (which can cause bone marrow suppression), and managing patients with hematological disorders.
  • A low platelet count (thrombocytopenia) requires implementing bleeding precautions, such as using a soft toothbrush, avoiding IM injections, and monitoring for signs of bleeding like petechiae, ecchymosis, or hematuria.
  • A high platelet count (thrombocytosis) may require monitoring for signs of thrombosis, such as calf pain (DVT), chest pain (PE), or neurological changes (stroke).
How to Approach the Question
  • First, identify the core of the question, which is asking for a specific, factual piece of information: the normal range for a lab value (platelet count).
  • This is a 'Recall' type question. Your task is to retrieve this specific value from your knowledge base.
  • Scan the options provided. Notice the different numerical ranges and units (per mm3).
  • Recall the normal ranges for the main components of a Complete Blood Count (CBC). Platelets are typically in the hundreds of thousands.
  • Evaluate each option against the recalled normal range. Option A is too low. Option D is the range for WBCs. Option C starts too low.
  • Select the option that most accurately reflects the established normal physiological range. Option B (150,000-350,000/mm3) is the standard range taught and used in clinical practice.
Concept Tested & Keywords
  • Concept Tested: Normal laboratory values - Platelet count
  • Stem keywords: normal platelet count, human blood
  • Lead-in keywords: BEST, MOST RELEVANT CLUE

Question ID

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Reference Book

E6 Physiology Essentials Sembulingam 10e Part 1 p. 131-133

E6 Nelson Textbook of Pediatrics(2024) — Volume 2 p. 811-813

Practise the full OSSSC Nursing Officer-2021

Attempt every question from this paper in a timed mock, then review the full solution for each one.