The patient is admitted with neutropenia. The nurse should continually assess the patient for:

a. signs of systemic infection.
b. a drop in temperature from its normal set point.
c. the absence of chills.
d. bradycardia.


A
There are no specific signs or symptoms of a low neutrophil count. Every body system is examined for physical findings of infection. Typical signs may not be evident. Pain such as sore throat or urethral discomfort may be indicative of an infected site. Areas of heavy bacterial colonization (e.g., oral mucosa, perineal area, and venipuncture and catheter sites) have the highest risk of infection; however, the most common clinical infections are sepsis and pneumonia. Additional signs or symptoms of systemic infection include a rise in temperature from its normal set point, chills, and accompanying tachycardia.

Nursing

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