A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the nurse would indicate a need for further teaching?
a. The patient ambulates several times a day in the room.
b. The patient's visitors bring in some fresh peaches from home.
c. The patient cleans with a warm washcloth after having a stool.
d. The patient uses soap and shampoo to shower every other day.
ANS: B
Fresh, thinned-skin fruits are not permitted in a neutropenic diet because of the risk of bacteria being present. The patient should ambulate in the room rather than the hospital hallway to avoid exposure to other patients or visitors. Because overuse of soap can dry the skin and increase infection risk, showering every other day is acceptable. Careful cleaning after having a bowel movement will help prevent skin breakdown and infection.
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