Which action will the admitting nurse include in the care plan for a 30-year old woman who is neutropenic?
a. Avoid any injections.
b. Check temperature every 4 hours.
c. Omit fruits or vegetables from the diet.
d. Place a "No Visitors" sign on the door.
ANS: B
The earliest sign of infection in a neutropenic patient is an elevation in temperature. Although unpeeled fresh fruits and vegetables should be avoided, fruits and vegetables that are peeled or cooked are acceptable. Injections may be required for administration of medications such as filgrastim (Neupogen). The number of visitors may be limited and visitors with communicable diseases should be avoided, but a "no visitors" policy is not needed.
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