A patient diagnosed with acute myeloid leukemia (AML) has an absolute neutrophil count of 200. What action by the nurse would minimize the risk of complications from neutropenia?
1. using strict aseptic technique when performing all procedures
2. spacing frequent meals throughout the day to increase caloric intake
3. restricting fluids and salts to reduce edema
4. regulating the thermostat for a cooler environment
Correct Answer: 1
AML results in neutropenia and thrombocytopenia, which lead to increased risks of bleeding. Actions to minimize these risks include using strict hand hygiene to prevent possible cross-contamination. Weight loss is a symptom of chronic myeloid leukemia (CML), not AML. Therefore, dietary intake is not increased with AML. The patient with AML does not have a problem with fluid shifts or edema that would require fluid and salt restrictions. Fluids are encouraged to remove wastes that occur with chemotherapy treatment and cellular breakdown. Heat intolerance is a symptom of chronic myeloid leukemia (CML), not AML.
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