A child is hospitalized with the following laboratory values: WBCs, 2,100 mm3; segs, 48%; and bands, 2%. What action by the nurse is best?
A.
Move the child to a laminar airflow room.
B.
Place the child on strict protective isolation.
C.
Use good hand hygiene measures consistently.
D.
Wear a mask when entering the child's room.
ANS: C
This child's absolute neutrophil count (ANC) is 1,050 mm3, which is classified as minimal, or class 2, neutropenia. Good hand hygiene and keeping sick visitors away from the child should be sufficient. Protective isolation is usually not used until the ANC falls below 500 mm3. Laminar airflow may or may not be used; this modality is often used for patients with tuberculosis. A mask is not needed.
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