F. ALTERATIONS IN FUNCTIONING

175. Your patient received chemotherapy 6 days ago and has now called with a fever of 101.8°F and chills. She has a productive cough and, except for not being able to get warm, feels fine. You send her for a complete blood count and learn that her absolute granulocyte count is 500 cells/mm3. You instruct her to come to the hospital to be admitted. Your decision is based on which of the following?

  1. She is at risk for bleeding and severe anemia.
  2. She probably has pneumonia and needs to be observed.
  3. She is past her nadir, but cultures need to be done to determine the source of a possible infection.
  4. When the neutrophil count is 500/mm3 or less, approximately 20% or more of febrile episodes have an associated bacteremia. ...

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