The nurse realizes that a patient receiving chemotherapy for cancer is at risk for developing an infection. What actions should the nurse take when caring for this patient?
Select all that apply.
1. Monitoring red blood cell counts monthly.
2. Teaching the patient to avoid small children.
3. Teaching the patient to apply lotion daily to clean skin to prevent drying.
4. Encouraging the patient to consume a diet high in protein and vitamin C.
5. Teaching the patient to report an oral temperature above 98° F.
Correct Answer: 2, 3, 4
Although RBCs are monitored, they do not diagnose infection as do WBCs. Teach the patient to avoid crowds, small children, and people with infections when WBC count is at nadir (lowest point during chemotherapy) and to practice scrupulous personal hygiene. Teach appropriate skin care measures, such as the use of a moisturizing lotion to prevent dryness and cracking ensures intact skin. Improving nutrition decreases the risk of infection. Vitamin C has been shown to help prevent certain types of infection, such as colds. A temperature of 98° F is normal and does not need to be reported to the nurse or physician.
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