The nurse is caring for a client with acute myelogenous leukemia who is receiving outpatient chemotherapy and develops an absolute neutrophil count of 0.9 * 10⁹/L. Which of the following actions by the nurse in the outpatient clinic is best? A)Discuss the need for hospital admission to treat the neutropenia. B)Plan to discontinue the chemotherapy until the neutropenia resolves. C)Teach the client how to administer filgrastim injections at home. D)Obtain a high-efficiency particulate air (HEPA) filter for the client for home use.

Question

Quizplus · Accepted Answer

The client may be taught to self-administer filgrastim injections. Although chemotherapy may be stopped with severe neutropenia (neutrophil count less than 0.5 * 10⁹/L), administration of filgrastim usually allows the chemotherapy to continue. Clients with neutropenia are at higher risk for infection when exposed to other clients in the hospital. HEPA filters are expensive and are used in the hospital, where the number of pathogens is much higher than in the client's home environment.

The Nurse Is Caring for a Client with Acute Myelogenous