Question

The client is on high-dose methotrexate for treatment of non-Hodgkin lymphoma. Which statement made by the client indicates understanding of appropriate precautions? (Select all that apply.)

A. "I should brush and floss my teeth three times a day."
B. "I should tell my friends and family not to send flowers."
C. "I should plan to bring in a heavy afghan from home because I will probably get cold easily."
D. "I should bring in my electric razor to shave."
E. "If my visitor has a cold, they can visit as long as they wear a mask."

Answer 1

B. I should tell my friends and family not to send flowers.

D. I should bring in my electric razor to shave.

Explanation -

Sending fresh flowers would have bacteria and would in return cause infection to the patient because of the suppressed functioning of the bone marrow. Use of electric razors would decrease the chances of bleeding unlike razor blades.

Brushing and flossing three times a day might lead to bleeding gums. The visitors who themselves are infected should avoid meeting the patient because the patient has full potential to get the infection because the patient’s immune system is compromised.