The nurse works in infection control at a large hospital. Which client does the nurse recognize as being at greatest risk for acquiring a fungal infection?
1. The client with severe burns over 20% of the body
2. The adolescent client with a fractured femur from an auto accident
3. The client with anemia who is pregnant with triplets
4. The client with malignant melanoma who is receiving chemotherapy
Correct Answer: 4
Rationale 1: The client with burns is at risk, but will not acquire the infection if infection control procedures are followed.
Rationale 2: The adolescent with a fractured femur is not at risk.
Rationale 3: The pregnant client with anemia is not at risk.
Rationale 4: Chemotherapy suppresses the immune system; clients with a suppressed immune system are at highest risk.
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