IN: Neutropenic Precautions - [Saunders, Lesson 30]
As with airborne precautions, the nurse initiates what with neutropenic or immunocompromised patients? [HESI]
A private room, with a high-efficiency particulate air filtration (HEPA) or laminar airflow system with the door closed.
The nurse and health care provider (HCP) should use ________________ technique in all procedures in patients who are immunocompromised. [HESI]
Aseptic
In all nursing procedures, what kind of technique is used under neutropenic precautions? [HESI]
Aseptic Technique
Unusual _________________ is also a key thing to monitor in patients under neutropenic precautions. [HESI]
Bleeding
If infection or signs and symptoms (S/S) of infection are starting to be seen the nurse should consult with the health care provider (HCP) and order what 5 diagnostic tests? [HESI]
Blood Cultures Open Lesion Culture Urine Specimens Sputum Cultures Chest X-Ray (CXR)
For patients with neutropenic precautions the nurse monitors for _______________ or _______________ ________________. Anything that indicates signs and symptoms (S/S) of infection. [HESI]
Fever/Sore Throats
Eliminate biological organisms that could cause harm to the neutropenic patient. What are 4 sources? [HESI]
Flowers Fruit Sanding Water Vegetables
Visitors are prohibited from seeing a patient that is under neutropenic precautions if they exhibit signs and symptoms (S/S) of the _______________ or _______________. [HESI]
Flu/Infection
Define aseptic. [HESI]
Free from contamination caused by harmful bacteria, viruses, or other microorganisms.
A patient who is immunocompromised should be placed in a private room with 1 of 2 types of airflow systems with the door closed. [HESI]
High Efficiency Particulate Air Filtration (HEPA) Laminar Airflow System (LAS)
What are 3 things that are enforced in the initiation of isolation precautions? [HESI]
Private Room Strict Hand Washing Donning PPE: Mask, gloves, and gown.
Be sure that the patient's room is cleaned daily and after discharge. T/F
True
Limit the number of staff entering a patient who is under neutropenic precautions. T/F [HESI]
True
The patient under neutropenic precautions should consult with his or her health care provider (HCP) before receiving immunizations. T/F [HESI]
True
What are four invasive procedures the nurse avoids in patients with neutropenic precautions? [HESI]
Venipuctures Injections Urinary Catheterization Rectal Temperatures
Who should avoid contact with a patient under neutropenic precautions? [HESI]
Visitors with signs and symptoms (S/S) of the flu or infection.
What laboratory value does the nurse strictly monitor in patients with neutropenic precautions? What specific laboratory value, within the general value, does the nurse closely monitor? [HESI]
White Blood Cells (WBC's) Neutrophils
