The nurse is caring for a school-age child recovering from an allogeneic stem cell transplant. What should the nurse do to ensure the child does not develop an infection after the transplant? (Select all that apply.)
A) Restrict all visits from other children.
B) Provide sterilized age-appropriate play materials.
C) Send for total body irradiation immediately after the transplant.
D) Make arrangements for schoolwork to be delivered to the hospital.
E) Encourage eating raw vegetables for each meal after the procedure.
A, B
Feedback:
To prevent the child from contracting an infection until the WBC count returns to a safe range, the child is restricted from interacting with other children either by remaining in the hospital or employing visiting restrictions at home. The nurse should provide sterilized play materials the child would enjoy as appropriate. Total body irradiation is completed before the transplant and not after. Schoolwork will not reduce the child's risk of developing an infection after the transplant. The only raw fruits that are permitted are those with thick skin such as bananas and oranges. Other raw fruits and vegetables are avoided because these foods can carry bacteria.
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