Health Promotion and Maintenance Q 133

---

The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

  

     A. Packed fruits

     B. Salt

     C. Fresh raw pepper

     D. Ketchup

    

    

Correct Answer: C. Fresh raw pepper

---

Fresh raw or whole pepper is not allowed unless thoroughly cooked in food. A low-bacteria diet is designed to reduce exposure to bacteria and other pathogens that can make one sick. It’s often prescribed for people who are at a greater risk of infection because they’re currently not making enough white blood cells due to certain illnesses or medical treatments.

---

Option A: Canned fruits are allowed since they are processed and pasteurized. Fresh fruits and vegetables are fine as long as they are washed first or cooked thoroughly. Meat, fish, and eggs should also be fully cooked. Commercially prepared and packaged foods are acceptable but avoid buying foods indented and swollen cans or damaged packaging.

Option B: Salt is allowed. The keys to a low-bacteria diet are choosing foods that are less likely to carry bacteria while avoiding the foods that do. Frequent hand washing and paying particular attention to food safety practices are also essential.

Option D: Ketchup is also allowed. Bread, ready-to-eat cereals, pancakes, waffles, and crackers are safe to eat. Bottled beverages, hot beverages, and pasteurized fruit and vegetable juices are good as well. Cream cheese, sour cream, mayonnaise, margarine, commercial peanut butter, and chocolate are okay, too.

---