The nurse is supervising a student nurse on the oncology unit who is providing care for a client with neutropenic precautions. Which action by the student nurse requires intervention by the supervising nurse?

  1. Vital signs, including temperature, are monitored every 4 hours.
  2. The student nurse inspects the client’s mouth at least every 8 hours.
  3. The student nurse delivers a potted plant to the room sent by the client’s family.
  4. The student nurse washes her hands before performing client care or touching client belongings.
Number 3 is correct.
Rationale: Clients on neutropenic precautions are at high risk of infection. Fresh flowers and potted plants should not be placed in the client’s room. It is important to monitor vital signs, including temperature every 4 hours as increased temperature may indicate infection. Inspecting the client’s mouth on a regular basis and providing oral care helps limit bacteria and allows visualization for oral changes. Strict adherence to standard precautions including hand hygiene is important with all clients, but especially those who are immunocompromised.