The nurse is caring for a client who is receiving chemotherapy for cancer. Which intervention does the nurse implement for this client?
a. Assess the client's fibrinogen level.
b. Administer the prescribed iron.
c. Maintain strict Standard Precautions.
d. Monitor the client's pulse oximetry.
C
The client who is receiving chemotherapy drugs that suppress the bone marrow will be at risk for a decreased white blood cell (WBC) count and infection. The nurse will be most therapeutic by adhering to Standard Precautions to prevent infection, such as handwashing. The nurse will not expect the fibrinogen level to be affected by this therapy. Iron is not typically administered with chemotherapy because this is bone marrow suppression, so the administration of epoetin (Epo-gen) or filgrastim (Neupogen) is most effective. Monitoring the pulse oximetry is part of routine care and probably would not need to be done continuously.
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