A 7-year-old with Lymphoma is hospitalized for chemotherapy treatment. Her morning labs are as follows: WBC: 2235 Segs: 15% Bands: 3%. The ANC calculation for this patient would be dropdown. Given your nursing knowledge, would this patient need to be placed on neutropenic precautions at this time? dropdown.

Rationale for Correct Choices: • 402: The ANC (Absolute Neutrophil Count) is calculated by multiplying the total WBC count by the percentage of neutrophils (segs + bands) and then dividing by 100. Here, ANC = 2235 × (15 + 3)% = 2235 × 0.18 = approximately 402. This is below the critical threshold of 500, indicating neutropenia. • Yes: Since the ANC is below 500, the patient is at high risk for infection and should be placed on neutropenic precautions to minimize exposure to pathogens and protect the immunocompromised patient. Rationale for Inorrect Choices: • 340: This value is too low to represent the ANC based on the given WBC and differential counts. It does not accurately reflect the neutrophil count in this case. • 1000: This is above the typical neutropenia threshold of 500 cells/mm³ and thus would not indicate neutropenic precautions are needed. This answer does not match the calculation from the provided data. • No: Given the ANC of 402, the patient is neutropenic, and standard precautions are insufficient to protect against infections in this immunocompromised state.