A child who has undergone a hematopoietic stem cell transplantation (HSCT) is ready for discharge. Which of the following concepts are important for the nurse to include in discharge education? Select all that apply
1. Keeping the child on a high-calcium diet
2. Returning the child to school within six weeks
3. Practicing good handwashing
4. Avoiding influenza vaccinations
5. Avoiding live plants and fresh vegetables
1, 3, 5
Rationale:
1. The child should be placed on calcium supplements to reduce the risk of osteopenia. Handwashing is essential to prevent the spread of infection. Live plants and fresh vegetables can carry bacteria; they should be avoided to decrease the risk of infection.
2. The child can't return to school for 6–12 months after an HSCT. In-hospital or in-home schooling is required. The child and the family should be encouraged to get a yearly influenza vaccination.
3. The child should be placed on calcium supplements to reduce the risk of osteopenia. Handwashing is essential to prevent the spread of infection. Live plants and fresh vegetables can carry bacteria; they should be avoided to decrease the risk of infection.
4. The child can't return to school for 6–12 months after an HSCT. In-hospital or in-home schooling is required. The child and the family should be encouraged to get a yearly influenza vaccination.
5. The child should be placed on calcium supplements to reduce the risk of osteopenia. Handwashing is essential to prevent the spread of infection. Live plants and fresh vegetables can carry bacteria; they should be avoided to decrease the risk of infection.
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