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    Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph

    A nurse is creating a plan of care for a client who has cancer and is experiencing immunosuppression. Which of the following interventions should the nurse include in the plan of care?

    Explanation & Rationale

    A. Immunosuppressed clients should have limited staff exposure to reduce the risk of infection. Rotating caregivers increases exposure to pathogens. B. Inspecting the mouth frequently allows early detection of mucositis, ulcerations, or fungal infections such as Candida albicans, which are common in immunocompromised clients. Prompt intervention can prevent systemic infection. C. Vital signs should be monitored more frequently (every 4 hours) because infection may develop rapidly and may present only as subtle changes in temperature or heart rate. D. Fresh fruits and raw vegetables may carry pathogens and should be avoided in immunosuppressed clients. Only cooked or canned foods are safe.

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