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) Monitor the client's temperature every 4 hr

B) Insert an indwelling urinary catheter for the client.

C) Request the client's bathroom to be cleaned three times each week.

D) Place a box of latex gloves just outside the client's room.

Answer 1

For a client with neutropenia resulting from chemotherapy, the nurse should monitor the client's temperature every 4 hours to detect any infections early.

Step-by-step explanation:

When creating a plan of care for a client with neutropenia due to chemotherapy, the nurse should include interventions focused on the prevention and early detection of infection, given the client's weakened immune system. An appropriate intervention from the options provided would be:

• Monitor the client's temperature every 4 hours.

This frequent monitoring can help detect the presence of an infection early, as fever is a common sign. Neutropenic patients are at high risk for infection, which can escalate rapidly, so early detection is crucial. The other options may not be as effective or could potentially introduce more risk of infection to the client.