The nurse is teaching a client who is scheduled to undergo allogeneic bone marrow transplanta-tion. Which statements indicate that the client correctly understands the teaching? (Select all that apply.)

Question

a. "The surgeon will insert the marrow into my femur bone."
b. "Until the marrow transplant takes, I can have visitors."
c. "The transplant does not start working immediately."
d. "I will need chemotherapy before my transplant."
e. "Radiation treatments will begin 2 days after transplantation."

Answer 1

C, D
Engraftment, or the successful take of transplanted cells, takes anywhere from 8 to 28 days, de-pending on the type of cell transplantation. For donated marrow or stem cells to work, the client will require large doses of chemotherapy before transplantation. The client will not require radia-tion after the transplant. Transplanted marrow is delivered intravenously. It is not placed into any bone. The client is at risk for infection until the bone marrow begins to produce white blood cells. Therefore visitors should be limited to prevent infection to the client.