During a client’s chemotherapy regimen for breast cancer, which is important for the nurse to include in her plan of care（）
A. Instruct the client to consume plenty of raw fruits and vegetables.
B. Take rectal temperatures for greater accuracy.
C. Tell the client to avoid crowds and infected individuals.
D. Ask friends and relatives not to visit during the course of chemotherapy.
参考答案：C
解析：
The client receiving chemotherapy is susceptible to infection from bone marrow suppression and granulocytopenia. Clients should be instructed to avoid malls, movie theaters, and infected individuals. Raw fruits and vegetables may be contaminated by pathogens and should be avoided during severe neutropenia or washed in hot soapy water. Although rectal temperatures may be more accurate, they aren’t appropriate for the neutropenic client. Taking temperatures rectally increases the risk of rectal abscess due to rectal trauma. Meticulous hand washing by staff and visitors will prevent the spread of infection; there is no need for sterile garb and no need to avoid visiting-the client will need emotional support from family at this time.