The nurse is caring for a client with a diagnosis of cancer. The client received the first dose of intravenous chemotherapy yesterday. What action by the nurse is appropriate?

Choice B rationale Chemotherapy agents or their metabolites may be excreted through all body fluids, including urine, feces, and emesis, for up to 48 hours after administration. This poses an occupational hazard to staff. To prevent absorption or contact exposure, the nurse must wear personal protective equipment, specifically a gown and gloves, when handling the client's linens, bodily fluids, or any items contaminated by them. Choice A rationale Placing the client on contact isolation is unnecessary unless the client has a transmissible infection, such as Clostridioides difficile or a multi-drug resistant organism. Chemotherapy exposure precaution is a safety measure to protect healthcare workers and the environment from cytotoxic agents, which is distinct from isolation required to prevent the transmission of an infectious pathogen between clients. Choice C rationale Contaminated materials, including incontinence pads soiled with chemotherapy-containing body fluids, must be disposed of as hazardous or cytotoxic waste, often in clearly marked, yellow bags or containers. Placing them in the regular trash bin is unsafe and violates hospital policy and environmental regulations for the proper handling and disposal of cytotoxic substances. Choice D rationale Maintaining a distance of 3 feet is a standard precaution used for droplet-transmissible infections like influenza. Chemotherapy precautions relate to the safe handling of contaminated materials and body fluids, as there is no risk of inhalation or exposure to the nurse simply by standing near the client, making this action irrelevant to the chemical hazard present.