After change-of-shift report on the oncology unit, which patient should the nurse assess first?
a. Patient who has a platelet count of 82,000/µL after chemotherapy
b. Patient who has xerostomia after receiving head and neck radiation
c. Patient who is neutropenic and has a temperature of 100.5° F (38.1° C)
d. Patient who is worried about getting the prescribed long-acting opioid on time
ANS: C
Temperature elevation is an emergency in neutropenic patients because of the risk for rapid progression to severe infections and sepsis. The other patients also require assessments or interventions, but do not need to be assessed as urgently. Patients with thrombocytopenia do not have spontaneous bleeding until the platelets are 20,000/µL. Xerostomia does not require immediate intervention. Although breakthrough pain needs to be addressed rapidly, the patient does not appear to have breakthrough pain.
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