Difficulty: Medium
Average Score: 84%
Simulated
The nurse notes that the daily white blood cell (WBC) count in a client with aplastic anemia has dropped overnight from 3,900 to 2,900/┬�L. Which is the appropriate nursing intervention?
Correct answer
D
Rationale
A significant drop in WBC count (3,900 to 2,900/┬�L) in aplastic anemia indicates worsening neutropenia, increasing infection risk. The nurse should notify the physician and place the client in reverse isolation to protect against infections. Monitoring, verifying, or documenting alone are insufficient given the urgency.