medium · NCLEX-RN Physiological Adaptation

A client with an Absolute Neutrophil Count (ANC) of 140/mm3 develops a temperature of 38.6 circC and a blood pressure of 88/52 mm Hg.

Which action must the nurse perform first?

  1. Apply cooling blankets to reduce the hyperthermia
  2. Obtain blood cultures and start broad-spectrum antibiotics immediately
  3. Wait for the repeat CBC results to confirm the neutropenia, for this client.
  4. Administer a scheduled dose of a live-attenuated vaccine, for this client.

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