Which of the following signs or symptoms will the nurse find on assessing a child who is neutropenic and has an infection?
a. elevated temperature and complaint of a feverish feeling
b. production of pus
c. redness of inflammation
d. no signs except perhaps complaint of pain or swelling
D
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A Incorrect. The child may have an elevated temperature but will have no complaints of a feverish feeling.
B Incorrect. There will be no production of pus.
C Incorrect. There will be no redness of inflammation.
D Correct. A child who is neutropenic and has an infection will not mount an immune response to infection. There will not be the usual inflammatory response to the infection such as redness or production of pus because of the lack of neutrophils. She or he may complain of pain or swelling. Fever may be the only sign of infection.
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