A patient receiving chemotherapy has an absolute neutrophil count of 400 cells/mm³ and a temperature of 38.3°C. Which action is the priority?

Correct answer: C. Notify the medical team immediately for urgent assessment

  • A. Offer oral fluids and reassess after one hour
  • B. Place the patient in a protective environment only
  • C. Notify the medical team immediately for urgent assessment
  • D. Encourage walking to improve circulation and appetite

Explanation

Severe neutropenia with fever is a medical emergency because infection may progress rapidly without a strong inflammatory response. The patient needs urgent assessment, cultures as prescribed and prompt antimicrobial treatment, not delayed observation.

Submitted by a TestUstad contributor and published by the TestUstad editorial teamLast updated
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About Oncology Nursing

Covers cancer biology, tumour staging, common malignancies and nursing care during surgery, chemotherapy, radiotherapy, immunotherapy and palliative treatment. It includes managing nausea, pain, fatigue, mucositis, neutropenia and extravasation, while distinguishing expected treatment effects from dangerous complications requiring urgent action.

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