A child has been diagnosed with a Wilms' tumor and is being treated with chemotherapy. Prior to administering the chemotherapy, what will the nurse monitor to determine if the child has any capability of fighting infection?
1. Hemoglobin
2. Red blood cell count
3. Platelets
4. Absolute neutrophil count (ANC)
4
Rationale 1: Hemoglobin indicates oxygen-carrying capacity, not immune response.
Rationale 2: Red blood cell count has no correlation with immune function.
Rationale 3: Platelets are associated with clotting, not immune function.
Rationale 4: The absolute neutrophil count uses both the segmented (mature) and bands (immature) neutrophils as a measure of the body's infection-fighting capability.
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