Question

A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan?

a. Encourage the client to participate in crowded social events to boost morale.
b. Instruct the client to avoid fresh fruits and vegetables.
c. Administer live vaccines to stimulate the immune system.
d. Encourage the use of a soft-bristle toothbrush for oral care.

Answer 1

The nurse should encourage the use of a soft-bristle toothbrush for oral care in the plan for a client with neutropenia as a result of chemotherapy, to reduce the risk of infection.

Step-by-step explanation:

The nurse should include the intervention of encouraging the use of a soft-bristle toothbrush for oral care in the plan of care for the client who has neutropenia as a result of chemotherapy. This is because neutropenia puts the client at a higher risk for infections, including oral infections. Using a soft-bristle toothbrush can help prevent trauma to the gums and oral tissues, reducing the risk of infection.

The other interventions mentioned in the options are not appropriate for a client with neutropenia:

• Encouraging the client to participate in crowded social events can expose the client to potential sources of infection, which should be avoided.
• While it's important to practice good food safety and avoid consuming contaminated produce, fresh fruits and vegetables are an essential part of a healthy diet. The client should be encouraged to consume them, but they should be thoroughly washed and prepared.
• Administering live vaccines to stimulate the immune system is contraindicated in clients with neutropenia, as it can risk causing an infection.