After receiving change-of-shift report for several patients with neutropenia, which patient should the nurse assess first?
a. 56-year-old with frequent explosive diarrhea
b. 33-year-old with a fever of 100.8° F (38.2° C)
c. 66-year-old who has white pharyngeal lesions
d. 23-year old who is complaining of severe fatigue
ANS: B
Any fever in a neutropenic patient indicates infection and can quickly lead to sepsis and septic shock. Rapid assessment and (if prescribed) initiation of antibiotic therapy within 1 hour are needed. The other patients also need to be assessed but do not exhibit symptoms of potentially life-threatening problems.
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