Eliminate fresh fruits and vegetables, avoid using enemas, and practice frequent hand washing.-rationale: neutropenia occurs when the absolute neutrophil count falls below 1,000/mm3, reflecting a severe risk of infection. the nurse should provide a low-bacterial diet, which means eliminating fresh fruits and vegetables, avoiding invasive procedures such as enemas, and practicing frequent hand washing. using a soft toothbrush, avoiding straight-edged razors and enemas, and monitoring for bleeding are precautions for clients with thrombocytopenia. putting on a mask, gown, and gloves when entering the clients room are reverse isolation measures. a neutropenic client doesnt need a clear liquid diet or sodium restrictions.client needs category: safe, effective care environmentclient needs subcategory: safety and infection controlcognitive level: applicationreference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1069.