Question

A nurse is caring for a client who has multiple myeloma and has a WBC count of 2,200/mm. Which of the following food items brought by the family should the nurse prohibit from being given to the client?

Answer 1

A fresh basket of fruits

Answer 2

Incomplete.

Answer 3

A factory sealed box of chocolates

Answer 4

Bagels

Answer 5

[AI-generated answer — Explain Bot]

To determine which food item should be prohibited from being given to the client with multiple myeloma and a low white blood cell (WBC) count, we need to consider the risk of infection associated with certain foods. In this case, the nurse needs to be cautious about the food items that may pose a higher risk of causing infection in a client with a compromised immune system.

To find the answer, we should focus on the WBC count and its implications for infection risk. A low WBC count, such as 2,200/mm, indicates leukopenia or a reduced number of white blood cells. White blood cells play a crucial role in protecting the body against infections. Having a lower count of these cells makes an individual more susceptible to infections and less able to fight them off.

Now, let's consider the food items brought by the family. Some food items may carry a higher risk of bacterial or fungal contamination, increasing the likelihood of infection. Examples of high-risk food items in this scenario may include:

1. Raw or undercooked meats, including rare steak, unpasteurized or undercooked eggs, or raw seafood. These foods have a higher chance of harboring bacteria like Salmonella or E. coli.

2. Soft cheeses, such as feta, blue cheese, or brie, as they can be a source of listeria, which poses a risk to individuals with a compromised immune system.

3. Unwashed or raw fruits and vegetables, as they may contain harmful germs or pesticides that can lead to infection. It is essential to wash fruits and vegetables thoroughly before consuming or cooking them.

4. Deli meats or cold cuts, as they may be contaminated with Listeria monocytogenes, which can cause severe infections in immune-compromised individuals.

5. Drinking unpasteurized juices, such as fresh apple or orange juice, which can contain harmful bacteria like E. coli or Salmonella. Pasteurization helps kill potential pathogens in the juice.

Based on these considerations, the nurse should prohibit the family from giving the client any food items that fall into these high-risk categories, as they may increase the client's susceptibility to infection.