Which concepts should the nurse include in the discharge instructions for a child who has undergone a hematopoietic stem cell transplantation (HSCT)? Select all that apply
1. Keeping the child on a high-calcium diet
2. Practicing good hand washing
3. Avoiding live plants and fresh vegetables
4. Avoiding influenza vaccinations
5. Returning the child to school within 6 weeks
1, 2, 3
Explanation:
1. The child should be placed on calcium supplements to reduce the risk of osteopenia. Hand washing 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 should be placed on calcium supplements to reduce the risk of osteopenia. Hand washing 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.
3. The child should be placed on calcium supplements to reduce the risk of osteopenia. Hand washing 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 cannot return to school for 6 to 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 cannot return to school for 6 to 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.
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