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학습 자료 둘러보기 →For a client with a CD4+ count of 150 cells/mm³, the priority is infection prevention and early detection of sepsis. Implement neutropenic precautions immediately.
Strict hand hygiene and restriction of sick visitors are essential. Monitor vital signs every 4 hours, paying close attention to even a low-grade fever (e.g., 38°C/100.4°F), as this is a critical finding in an immunocompromised client.
Do not delay reporting subtle changes such as mild confusion, tachypnea, or a slight temperature elevation. In severe immunosuppression, the inflammatory response is blunted, and classic signs of infection may be absent until the client is critically ill.
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