# The nurse reviews discharge teaching after stem-cell transplantation. Which statements require follow-up? Highlight the client statements that increase infection risk. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=494052&lang=en > language: en > subject: Standard/Transmission-Based Precautions/Surgical Asepsis > category: SIPC ## Question The nurse reviews discharge teaching after stem-cell transplantation. Which statements require follow-up? Highlight the client statements that increase infection risk. 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. ## In-depth explanation Quick answer Follow up on plans to eat raw eggs, garden with bare hands, and clean the cat litter box. Each plan creates avoidable food, soil, or animal-waste exposure during substantial immunosuppression. Why this is correct Transplant recipients should use careful hand hygiene, avoid unsafe raw foods, minimize soil exposure, and avoid handling animal feces when possible.[1] These precautions lower exposure to pathogens that a weakened immune system may not control well. Easy analogy or mental picture Picture the immune system as a repair crew working with fewer staff. Food, soil, and litter can open extra work orders, so the plan closes those doors. The analogy describes exposure reduction, not a need to avoid all normal life. Memory hook After transplant: cook food, cover hands, and hand off litter. NCLEX decision rule When an immunosuppressed client plans home activities, think preventable exposure; check food safety, hand hygiene, soil contact, and animal-waste tasks before approving the teaching plan. Why the other choices are wrong Separate cutting boards, reheating leftovers thoroughly, frequent handwashing, avoiding ill visitors, and asking family to manage litter are protective choices. Keeping a healthy pet is not automatically forbidden when safer handling practices are followed.References - [1]CDC: Preventing Opportunistic Infections After HSCTCenters for Disease Control and Prevention - [2]CDC: Safer Food Choices for Weakened Immune SystemsCenters for Disease Control and Prevention ## Related questions - [A nurse is caring for a client newly admitted with suspected methicillin-resistant Staphyl…](https://mymerci.kr/pages/nclex_q.php?qn_id=360517&lang=en) - [A nurse is about to enter the room of a client with Clostridioides difficile infection dur…](https://mymerci.kr/pages/nclex_q.php?qn_id=361226&lang=en) - [A 22-year-old female client presents to the emergency department with a 4-week history of …](https://mymerci.kr/pages/nclex_q.php?qn_id=361677&lang=en) - [A 65-year-old client admitted to the medical ICU with sepsis and acute delirium has just p…](https://mymerci.kr/pages/nclex_q.php?qn_id=361679&lang=en) - [A new graduate registered nurse (RN) on a medical unit just hung an intravenous antibiotic…](https://mymerci.kr/pages/nclex_q.php?qn_id=361710&lang=en) - [A nurse is caring for a client newly admitted with active Clostridioides difficile infecti…](https://mymerci.kr/pages/nclex_q.php?qn_id=363996&lang=en) - [A nurse is caring for an adult client newly admitted with suspected active pulmonary tuber…](https://mymerci.kr/pages/nclex_q.php?qn_id=366306&lang=en) - [A nurse cares for a client newly admitted with a positive surveillance culture for vancomy…](https://mymerci.kr/pages/nclex_q.php?qn_id=366709&lang=en) ## Read in another language - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=494052&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=494052&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=494052&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=494052&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=494052&lang=vi) --- More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en) _For study reference only. 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