Which teaching point is appropriate for a patient with neutropenia?

• A. Consume raw fruits and vegetables with thorough washing.
• B. Avoid raw foods and flowers.
• C. No special precautions needed.
• D. Visit crowded places to build immunity.

Answer: (B)

Infection prevention is the key when neutropenia is present, because a low neutrophil count makes it hard for the body to fight off germs. The best teaching point is to avoid exposures that can carry pathogens, so avoiding raw foods and flowers is recommended. Raw fruits and vegetables can harbor bacteria and parasites that may cause serious infections, and washing cannot remove all risk. Flowers, especially with soil or contaminated water, can introduce bacteria or other contaminants through handling or contact. Encouraging cooked, well-washed foods and avoiding raw produce and fresh flowers helps reduce infection risk. Exposure to crowds or neglecting precautions would increase the chance of infection, so those options aren’t appropriate.