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Standard/Transmission-Based Precautions/Surgical Asepsis

The nurse reviews discharge teaching after stem-cell transplantation. Which statements require follow-up? Highlight the client statements that increase infection risk.

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Nurses' Notes 1545: The client is preparing for discharge six weeks after an allogeneic hematopoietic stem-cell transplant. The client remains on systemic immunosuppressive medication and has no fever or chills today. During teaching, the client states breakfast shakes will include raw eggs despite using pasteurized milk. The partner plans to prepare meat on a separate cutting board and wash the board after use. The client says all leftovers will be reheated until steaming before they are eaten. The client states weeds will be pulled with bare hands followed by handwashing. A family member will postpone visits whenever fever, cough, vomiting, or diarrhea is present. The client keeps alcohol-based hand rub near the front door and plans frequent handwashing. The household cat is healthy and receives routine veterinary care. The client states the cat litter box will be cleaned personally every morning. The partner offers to clean the litter box instead and wash hands afterward. The client plans to avoid unpasteurized juice and undercooked meat. Fresh fruit will be rinsed under running water before it is cut. The nurse asks the client to teach back the food, soil, visitor, and animal-waste precautions before discharge.
Nurses' Notes 1545: The client is preparing for discharge six weeks after an allogeneic hematopoietic stem-cell transplant. The client remains on systemic immunosuppressive medication and has no fever or chills today. During teaching, the client states breakfast shakes will include raw eggs despite using pasteurized milk. The partner plans to prepare meat on a separate cutting board and wash the board after use. The client says all leftovers will be reheated until steaming before they are eaten. The client states weeds will be pulled with bare hands followed by handwashing. A family member will postpone visits whenever fever, cough, vomiting, or diarrhea is present. The client keeps alcohol-based hand rub near the front door and plans frequent handwashing. The household cat is healthy and receives routine veterinary care. The client states the cat litter box will be cleaned personally every morning. The partner offers to clean the litter box instead and wash hands afterward. The client plans to avoid unpasteurized juice and undercooked meat. Fresh fruit will be rinsed under running water before it is cut. The nurse asks the client to teach back the food, soil, visitor, and animal-waste precautions before discharge.
Explanation
Raw animal products, unprotected soil exposure, and cleaning animal waste increase infection risk during immunosuppression. Safe food handling, hand hygiene, and delegating litter care reduce preventable exposure.
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