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SHON HINT A nurse is helping admit a client who has a neutrophil count of \( 1,100 / \mathrm{mm} \). Which of the following should the nurse expect to be included in the client's plan of care? Provide meals with fresh fruits and vegeables Encourage the client's family and frients to visit Use designared equigment with the client Inssuc: the cien to ambulxte in the haberay frequently

Ask by Stanley Hamilton. in the United States
Mar 13,2025

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Answer

The nurse should use designated equipment with the client to minimize infection risks.

Solution

To address the problem, we need to analyze the situation involving a client with a neutrophil count of \( 1,100 / \mathrm{mm} \). A normal neutrophil count typically ranges from \( 2,500 \) to \( 7,000 / \mathrm{mm} \). A count of \( 1,100 / \mathrm{mm} \) indicates neutropenia, which means the client has a lower than normal number of neutrophils and is at increased risk for infections. Now, let's evaluate the options provided in the context of the client's condition: 1. **Provide meals with fresh fruits and vegetables**: This option is generally not recommended for clients with neutropenia, as fresh produce can harbor bacteria and increase the risk of infection. 2. **Encourage the client's family and friends to visit**: While social support is important, allowing visitors can increase the risk of infection for a client with neutropenia. Therefore, this option is not advisable. 3. **Use designated equipment with the client**: This option is appropriate. Using designated equipment can help minimize the risk of cross-contamination and infection. 4. **Instruct the client to ambulate in the hallway frequently**: While mobility is important for overall health, encouraging a client with neutropenia to ambulate frequently in public areas (like hallways) can expose them to potential infections. This option is not advisable. Based on the analysis, the most appropriate action for the nurse to include in the client's plan of care is: **Use designated equipment with the client.** This approach helps to protect the client from infections while managing their care.

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The Deep Dive

When managing a client with a neutrophil count of \( 1,100 / \mathrm{mm} \), the primary concern is the risk of infection. A neutrophil count this low suggests a compromised immune system, and the client is likely neutropenic. Hence, using designated equipment with the client is crucial to prevent cross-contamination and infection. It's important to maintain a sterile environment through proper handling of materials. In light of the client's condition, meals should avoid fresh fruits and vegetables, as they can harbor bacteria harmful to individuals with low neutrophil counts. Instead, cooked foods are recommended, as the cooking process kills off potential pathogens. This way, the client receives necessary nutrition while minimizing infection risks.

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