Which intervention is important to include in the plan of care while receiving multiple immunosuppressants?

• A. Instruct client to wear a mask when walking in the halls.
• B. Instruct visitors that fresh flowers should not be taken into the room.
• C. Monitor immunosuppression drug levels regularly.
• D. Encourage activity and mobility to prevent complications.

Answer: (D)

When someone is receiving multiple immunosuppressants, their immune system is intentionally dampened, which raises the risk of infections and other complications. Keeping the patient engaged in activity and maintaining mobility helps prevent a cluster of problems that often come with prolonged illness and limited movement, such as deconditioning, muscle wasting, venous thromboembolism, pneumonia from reduced chest expansion, and pressure ulcers from immobility. Gentle activity, with safety in mind, supports cardiovascular fitness, lung function, gastrointestinal motility, and overall recovery, making it a central part of the plan of care.

Infection-control measures like masking or avoiding fresh flowers are important for reducing exposure and preventing infection, and drug-level monitoring is essential to ensure safe, effective immunosuppression. However, promoting activity and mobility addresses a broad range of potential complications and helps maintain function, which is why it’s emphasized as a key plan-of-care intervention.