PN Adult Medical Surgical Practice Exam

When providing discharge teaching to a client with leukemia undergoing chemotherapy, which statement is important to include?

1. "You should thaw frozen meat at room temperature."

2. "You should place your toothbrush in hydrogen peroxide."

3. "You should use paprika as a seasoning for your food."

4. "You should use a glycerin-based soap while bathing."

The correct answer is: "You should place your toothbrush in hydrogen peroxide."

In the context of discharge teaching for a client with leukemia undergoing chemotherapy, it is crucial to emphasize the importance of maintaining oral hygiene in a manner that minimizes the risk of infections, which can be a significant concern for immunocompromised patients. The recommendation to place a toothbrush in hydrogen peroxide is focused on disinfection. Hydrogen peroxide has antibacterial properties that can help reduce the bacterial load on the toothbrush, therefore helping to prevent oral infections. This statement highlights the importance of maintaining a clean oral environment, as chemotherapy can lead to mucositis and a higher susceptibility to oral infections. Proper oral care is vital for these clients, and using a disinfectant like hydrogen peroxide for their toothbrush aligns with infection control practices. For other statements, they either pose risks or lack evidence of safety for clients with weakened immune systems. For instance, thawing frozen meat at room temperature can promote bacterial growth, which is particularly dangerous for someone with a compromised immune system. Using paprika as a seasoning might not be advisable either; although paprika itself is safe, clients are often instructed to avoid spices that might irritate the mucous membranes during treatment. Lastly, while glycerin-based soap may be gentle, it doesn't specifically address the heightened risk of infection that these clients face, which is a