A client with a long-standing diagnosis of human immunodeficiency virus (HIV) has recently developed neutropenia and been admitted to a hospital. Which of the following measures should be prioritized by the nurses who are providing his care?
A) Administration of prophylactic antibiotics
B) Supplementary oxygen and administration of bronchodilators
C) Administration of antiretroviral medications
D) Vigilant handwashing to protect against severe bacterial infections
Ans: D
Feedback:
Neutropenia carries a greatly increased risk of infection that necessitates vigilant infection control measures and strict adherence to standard precautions such as handwashing. Antiretrovirals do not directly address his neutropenia, and antibiotics are not normally provided prophylactically. The client is susceptible to respiratory infections, but therapeutic interventions are not required until indicated by a diagnosis such as pneumonia.
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