A client is hospitalized for a broken leg. The client has a history of breast cancer and is receiving outpatient chemotherapy; the last infusion was about a week ago. Which staff members can safely care for this client? Select all that apply.

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Quizplus · Accepted Answer

A client who has recently received chemotherapy may be immunocompromised and should be protected from infectious contacts. Infectious contacts include staff members with a cold or impetigo, a common, highly contagious bacterial skin infection (Options C and E). Impetigo vesicles rupture and form erosions, and the fluid creates a honey-colored crust. Common sites include the mouth and hands. The nurse should be referred to occupational health and must cover the site while working. impetigo (Option A) The medical-surgical nurse has the training to care for a client with immunosuppression and a broken leg. If chemotherapy needs to be administered during the hospitalization, a chemotherapy certified nurse will administer the medication. (Option B) The client is not radioactive or infectious, and the nurse will not be administering or handling the chemotherapeutic agents. Therefore, it is safe for the pregnant nurse to care for the client. (Option D) The injectable influenza vaccination does not contain live influenza virus; therefore, the unlicensed assistive personnel is not infectious. The inactivated vaccine is safe and recommended for clients who are immunocompromised. Educational objective: Clients who are immunosuppressed from chemotherapy should not be cared for by a health care provider who is infectious.

A Client Is Hospitalized for a Broken Leg