What safety practice should a nurse ensure a client undergoing brachytherapy follows to limit the risk of exposure to others?

A. Use an electric razor when shaving: With thrombocytopenia, the client is at an increased risk for bleeding due to low platelet counts. Using an electric razor reduces the risk of cuts and bleeding during shaving, which is critical in preventing injury.

B. Restrict visits from children under twelve-years-old: While avoiding exposure to illness is important in immunosuppressed patients, this is not as urgent a concern as preventing bleeding due to thrombocytopenia.

C. Incorporate rest periods throughout the day: Rest is important for overall well-being during chemotherapy, but it is not directly related to managing thrombocytopenia. The priority is preventing bleeding complications, such as using an electric razor.

D. Take your temperature daily: Taking temperature daily is helpful for detecting infection, but it is not the most important intervention for thrombocytopenia. Preventing bleeding should be the primary

A. Administer a flu and pneumonia immunization via an intramuscular route: Vaccinations like flu and pneumonia are important, but in acute myelocytic leukemia, where the immune system is often suppressed, the vaccines may not be appropriate during active treatment.

B. Assist the client with appropriate hygiene measures: Promoting good hygiene is essential in preventing infections in immunocompromised clients. This includes regular handwashing and maintaining cleanliness to reduce exposure to potential pathogens.

C. Restrict visitation of family and friends who have colds, fever, or infections: Limiting exposure to individuals with infections is crucial in protecting a client with AML, as their immune system is often weakened by both the disease and treatment.

D. Obtain vital signs including temperature and pulse oximetry every 4 hours: Regular monitoring of vital signs, especially temperature and pulse oximetry, is critical in identifying early signs of infection, which is a high concern for clients with AML.

E. Report a blood pressure of 110/70 mm Hg: A blood pressure reading of 110/70 mm Hg is within normal limits and does not require reporting. The priority would be to monitor vital signs related to infection risk, such as temperature and oxygenation levels.