You are working in a hematology–oncology clinic. The laboratory reports a critical laboratory result for one of your patients presenting with possible acute leukemia: the leukocyte count is 1,200/mm3 with 10% neutrophils. What other laboratory results would be important to review or consider? The patient is also anemic (hemoglobin 8.2 mg/dL), and platelets are 110,000/mm3. What observations will you include in your assessment of this patient? Determine the extent to which this patient is neutropenic. What medical treatments would you anticipate? How would you educate the patient about neutropenia precautions? What information do you need to obtain about the patient’s home setting that will assist you in determining the patient’s risk of developing an infection at home? How will you modify this education if the patient has mild dementia? Lives alone? Does not understand or speak English well?
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