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    ATI Nur 211 Med Surg proctored Exam
    Select All That Apply

    A nurse is planning care for a client who has an absolute neutrophil count (ANC) less than 1,000/mm³. Which of the following interventions should the nurse include in the plan?

    Explanation & Rationale

    Choice A reason: Increasing raw produce consumption is contraindicated for neutropenic clients, as unwashed or uncooked produce may harbor bacteria, increasing infection risk. Strict dietary precautions are needed, making this choice incorrect for a client with low ANC. Choice B reason: Initiating protective isolation protects clients with ANC <1,000/mm&sup3; from infections by minimizing pathogen exposure. This includes private rooms and strict hygiene, critical for preventing life-threatening infections in neutropenia, making this a correct intervention. Choice C reason: Limiting visitors to healthy adults reduces infection risk for neutropenic clients, as low ANC impairs immune response. Healthy visitors minimize pathogen introduction, aligning with protective precautions, making this a correct intervention for the care plan. Choice D reason: Fresh flowers are prohibited in neutropenic clients’ rooms, as they can harbor mold and bacteria, increasing infection risk. Strict environmental controls are needed, making this choice incorrect for a client with low ANC.

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