A client is being discharged home after a large myocardial infarction and subsequent coronary artery bypass grafting surgery. The client's sternal wound has not yet healed. What statement by the client most indicates a higher risk of developing sepsis after discharge?

A. "All my friends and neighbors are planning a party for me.": Social gatherings, while potentially increasing exposure to minor pathogens, do not directly compromise the client’s immune system or sternal wound integrity. Standard precautions such as hand hygiene and limiting contact with ill individuals are typically sufficient to reduce infection risk. B. "I hope I can get my water turned back on when I get home.": Lack of access to clean running water significantly increases the risk of poor hygiene and wound contamination. For a client with an unhealed sternal incision post-CABG, inadequate handwashing, wound cleaning, and general hygiene can facilitate bacterial colonization and progression to sepsis. This indicates a clear environmental risk factor that needs to be addressed before discharge. C. "I am going to have my daughter scoop the cat litter box.": While handling cat litter can expose clients to pathogens such as Toxoplasma gondii, the client is delegating a task that could expose them to toxoplasmosis or other bacteria, which is an appropriate preventative measure. D. "My grandkids are so excited to have me coming home!": Interaction with healthy family members generally does not pose a significant sepsis risk. Standard infection control measures, such as avoiding contact when anyone is ill and practicing hand hygiene, are usually sufficient to prevent postoperative infection.