The nurse is caring for the patient who is at the nadir for bone marrow suppression. Which order does the nurse clarify with the provider?

Provide a Fleet’s enema after 24 hours with no stool to prevent impaction. Due to the risk for bleeding, nothing should be administered per rectum to the patient who is at the nadir of bone marrow suppression and likely has severe thrombocytopenia. The nurse clarifies the order for the enema and requests a different medication to be administered orally. Colony stimulating factor administration, reverse isolation precautions, and regular neurologic assessments to assess for intracranial bleeding are appropriate orders that do not need to be clarified.

The nurse is caring for the patient who is at the nadir for bone ...

Category: Reduction of Risk Potential
Difficulty: 9

Topics: Cardiovascular Communication & Documentation Elimination Hematology/Oncology Immunity Inflammation Tissue Integrity Medication and Blood Products Nursing Interventions Routes of Administration

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