A client receiving chemotherapy has a very low white blood cell count. Antibiotic therapy is initiated. What rationales should the nurse provide for the addition of this drug?
1. You have an infection.
2. We would like to prevent you from developing any infections.
3. Chemotherapy often causes infections.
4. This antibiotic will help your chemotherapy fight off your cancer.
5. If you are developing an infection, this medication will help kill it out early.
Correct Answer: 2,5
Rationale 1: There is no evidence of infection being present.
Rationale 2: Antibiotics are given to those with low WBCs to help prevent or lessen infections.
Rationale 3: The chemotherapy does not cause an infection, but does decrease immunity, allowing infection to occur.
Rationale 4: This antibiotic is not being given to kill cancer cells.
Rationale 5: Prophylactic antibiotics are given to kill bacteria while their numbers are small.
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