The home health nurse is performing a home visit for an oncology client discharged 14 days ago after completing chemotherapy treatment. The nurse's assessment should include examination for the signs and symptoms of what complication?

Rationale: A. Tumor lysis syndrome occurs within 24–72 hours after the initiation of chemotherapy, particularly in clients with high tumor burden. By 14 days post-treatment, this complication is unlikely to present. B. Chemotherapy suppresses bone marrow function, leading to neutropenia, which often peaks around 7–14 days post-chemotherapy, depending on the regimen. Neutropenic clients are at high risk for infection, often without typical signs like fever or inflammation. Assessment should include vital signs, skin and mucous membrane inspection, and questioning about signs of infection (fever, chills, sore throat, cough, dysuria). Neutropenia is a common delayed complication after chemotherapy, making it the priority for home health monitoring. C. DIC is usually associated with severe sepsis, trauma, or certain malignancies, not a routine complication in stable post-chemotherapy clients at home. D. Hypercalcemia can occur in malignancy, particularly with bone metastases or paraneoplastic syndromes, but it is not a common immediate post-chemotherapy complication in a client without active bone involvement.