The nurse working with a child in the pediatric unit gets a lab report back on the child, which shows an absolute neutrophil count (ANC) of slightly less than 500 per cubic millimeter. This ANC tells the nurse which of the following things?
a. The neutrophil count is approaching normal and the child is on the way to recovery.
b. Even normal body flora can put the child at risk for serious life-threatening bacterial infections.
c. Vital signs need to be taken at least every two hours with all temperatures taken rectally.
d. The child needs an iron-rich diet and needs to add more fresh fruits and vegetables to the diet.
B
Feedback
A Incorrect. This neutrophil count is not approaching normal and the child is not on the way to recovery. A normal ANC is > 1000 per cubic mm.
B Correct. A child with an ANC of 500 or less per cubic mom's at risk for serious life-threatening bacterial infections, which are usually caused by normal body flora.
C Incorrect. The temperature of a child who is neutropenic should be monitored closely because infection in this child can quickly progress to septic shock and death. However, rectal temperatures should be avoided because it could lead to a break in the rectal mucosa, allowing bacteria into the bloodstream.
D Incorrect. The child who is neutropenic is immunosuppressed, and an iron-rich diet and more fresh fruits and vegetables will not resolve the problem.
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