A client with stage I GVHD following a bone marrow transplant is very depressed because he has developed this complication. The nurse should base interactions with this client on the fact that stage I GVHD
a. is likely to prevent successful engraftment.
b. may prevent leukemic relapse.
c. is treatable with steroids.
d. is usually fatal very quickly.
B
Whereas severe GVHD is usually fatal, researchers believe that a complete absence of this im-mune reaction increases the risk of leukemic relapse. When interacting with the client, the nurse should use this information as the basis of therapeutic communication.
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The nurse is caring for a male patient who states, "I have been smoking two packs of cigarettes a day for 20 years and now my nurse practitioner wants me to take vitamins
Do you think I need to take vitamins?" What is the most appropriate response by the nurse? a. "Smoking is bad for your health. I believe if you stop smoking you would certainly be better off and not have to take vitamins." b. "Smokers use vitamin C faster than do nonsmokers, and is linked to iron deficiency. You can either eat more foods containing vitamin C and iron or take dietary supplements." c. "It is probably a good idea. With your history of tobacco use, I'm sure you are lacking in vitamins and nutrients." d. "I really cannot answer this question. You will need to speak with your nurse practitioner to find out more about this."
The nurse who is aware that varicose veins are abnormally dilated vessels due to incompetent valves suggests which of the following proactive preventative nursing interventions:
A) Sitting with crossed legs to promote relaxation B) Walking for several minutes every hour to promote circulation C) Elevating the legs when tired D) Wearing tight ankle socks to decrease edema
List the pathophysiology processes involved in appendicitis in sequential order
A) The appendix becomes distended with fluid secreted by its mucosa. B) Obstruction of the proximal lumen of the appendix is apparent. C) Purulent exudate formed causes further distention of the appendix. D) Pressure within the lumen of the appendix increases. E) Tissue necrosis and gangrene result.
In an assessment of a patient who has been receiving intravenous (IV) fluids for the past 6 hours, a nurse finds that the pulse is now bounding, the blood pressure is more than 15 mm Hg higher than the last reading, and pedal edema has developed
What should the nurse suspect? a. Infiltration of the IV site b. Vascular fluid volume excess c. Pulmonary air embolism d. Phlebitis of the leg veins