Question

A client develops neutropenia after receiving chemotherapy. Which information about ways to prevent infection will the nurse include in the teaching plan? Select all that apply.

a. Cook food thoroughly before eating.

b. Choose low fiber, low residue foods.

c. Avoid public transportation such as buses.

d. Use rectal suppositories if needed for constipation.

e. Talk to the oncologist before having any dental work.

Response

Rationale

Answer 1

Chemotherapy-induced neutropenia is a major concern to the oncologists. In neutropenia, there is a decreased level of the neutrophils (a type of WBC) in the blood, making the person weak in immunity or to fight against the possible infections. Here in the present case, the nurse should advise the patient to cook food properly before eating to prevent the chances of infection, the patient should also avoid the public transportation, as he/she may get easily infected due to low immunity, also in case of any dental work, he/she should consult to the oncologist, to prevent the chances of them getting infected.

Hence Option a, c and e are the most rational points to be considered in the teaching plan, for the effective management of this case.