Safe, Effective Care Environment
23. A hospital client with cancer has a low white blood cell (WBC) count (<1,000/mm3). Preventing infection is a high priority. Measures to minimize infection include:
Select all that apply.
Safe, Effective Care Environment
23. A hospital client with cancer has a low white blood cell (WBC) count (<1,000/mm3). Preventing infection is a high priority. Measures to minimize infection include:
Select all that apply.
. A private room if possible.
. Measuring temperature rectally for greater accuracy.
. Request that family bring fresh fruits from home.
. Shave with an electric razor if needed.
. Give stool softeners to prevent constipation.
. Change IV solution every 24 hours.
Test-Taking Tip
Choose options that reduce exposure to or risk from organisms.
Content Area: Adult Health, Oncological; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Safety and Infection Control/Standard/Transmission-based/Other Precautions
Safe, Effective Care Environment
. . . .
Answer 1 is correct because a private room would reduce exposure of the client to other organisms transmitted by close contact with other clients. Answer 2 is incorrect because rectal temperatures are to be avoided because rectal trauma may occur. Answer 3 is incorrect because fresh fruits do not minimize susceptibility to infection, and unless peeled before given to the client, may be a source of bacteria. Answer 4 is correct because an electric razor avoids the risk of cuts. Answer 5 is correct because constipation and straining at stool may cause rectal tears. Answer 6 is correct because the chance of infection increases after 24 hours for IV solutions, and 72 hours with IV tubing.