The client with lymphoma who is considering a stem cell transplant asks what is the difference between a stem cell transplant and a bone marrow transplant. What is the nurse's best response?
A. "Bone marrow transplantation requires more chemotherapy and radiation than does stem cell transplantation."
B. "A bone marrow transplant is one type of stem cell transplant. The only difference is the source of the stem cells."
C. "A stem cell transplant is useful for solid tumor cancers, but a bone marrow transplant is needed for lymphoma."
D. "Cells for a stem cell transplant can come from a person other than a family member related by blood, but cells for a bone marrow transplant must come from a blood relative."
B
The purpose of a stem cell transplant for cancer is to transplant undifferentiated stem cells into a client whose own stem cells for making blood cells have been destroyed by cytotoxic therapy. The bone marrow is a major source for stem cells. Other sources for stem cells are the peripheral blood and umbilical cord of newborn infants. Thus, a bone marrow transplant is a stem cell transplant.
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A child is scheduled for a kidney transplant. The nurse has completed the preoperative teaching to prepare the child and parents for the surgery and postoperative considerations
The nurse will know the parents realistically understand the transplantation process that is involved with a kidney transplant if they state: 1. "We know it's important to see that our child takes prescribed medications after the transplant." 2. "We'll be glad we won't have to bring our child in to see the doctor again." 3. "We're happy our child won't have to take any more medicine after the transplant." 4. "We understand our child won't be at risk anymore for catching colds from other children at school."
A child weighing 123 lb (56 kg) has been diagnosed with Rocky Mountain Spotted Fever
The nurse calculates that the correct dose, to be given twice a day, is ____________________.
The restraint should always be the correct ____________________ to fit the patient.
Fill in the blank(s) with the appropriate word(s).
While assessing the patient, the nurse recognizes that special caution should be taken with the IV infusion because of fluid volume excess when the nurse notes the presence of which condition?
a. Poor skin turgor b. Crackles in the lungs c. Decreased blood pressure d. Dry skin and mucous membranes