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학습 자료 둘러보기 →For a client with Severe Combined Immunodeficiency (SCID) undergoing a bone marrow transplant, the highest priority is implementing strict reverse isolation and maintaining a sterile environment. The client has virtually no functional T-cells or B-cells, and the pre-transplant conditioning regimen induces profound neutropenia (absolute neutrophil count often <100 cells/µL), making any infection rapidly fatal.
Key nursing interventions include placing the client in a private room with HEPA filtration and positive-pressure airflow, requiring all staff and visitors to perform rigorous hand hygiene and wear sterile gowns, gloves, and masks. All items entering the room must be sterile, including linens and dietary trays. Live plants and fresh flowers are prohibited due to fungal and bacterial risks.
Do not confuse reverse isolation (protecting the patient) with standard transmission-based precautions. Aseptic technique is required for all invasive procedures. Monitor closely for subtle signs of infection, as the typical inflammatory response (redness, pus) may be absent in the absence of neutrophils.
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