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    Ati nur 114 med surg 2 proctored exam

    A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care?

    Explanation & Rationale

    Rationale: A. Restricting all visitors from entering the client’s room is unnecessary. Visitors who are healthy and practice good hand hygiene may visit. The focus should be on infection prevention, not social isolation, as emotional support is important during cancer treatment. B. Fresh flowers and potted plants should be restricted because they can harbor bacteria, mold, and fungi in the soil or water, posing a significant infection risk to clients with neutropenia. Only artificial flowers or decorations should be used in the client’s environment. C. Activities that could result in bleeding are a concern for clients with thrombocytopenia (low platelet count), not neutropenia. Neutropenia increases infection risk, not bleeding tendency. D. Restricting oral fluid intake to between meals only is not necessary and could lead to dehydration. Adequate hydration supports renal function and helps the body eliminate chemotherapy metabolites.

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