A nursing student is struggling to understand the process of graft-versus-host disease. What explanation by the nurse instructor is best?
a. "Because of immunosuppression, the donor cells take over."
b. "It's like a transfusion reaction because no perfect matches exist."
c. "The client's cells are fighting donor cells for dominance."
d. "The donor's cells are actually attacking the client's cells."
ANS: D
Graft versus host disease is an autoimmune-type process in which the donor cells recognize the client's cells as foreign and begin attacking them. The other answers are not accurate.
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During discharge planning of a drug-dependent newborn, the nurse explains to the mother that daily care for the infant should include:
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The nurse teaches the parents of an anemic toddler about administering liquid iron supplements, and includes what priority teaching point?
1. Mix the iron preparations with milk or juice. 2. The iron preparation can turn the stool orange. 3. Dilute the liquid iron and give through a straw. 4. Flavor the medication to make it more appealing.
The nurse concludes that a client with depression is making progress toward meeting goals when the client says:
1. "I am feeling sad today." 2. "May I use the phone today?" 3. "I don't think the medication is working." 4. "I'll eat lunch in my room today."