The nurse is caring for a child who has undergone stem cell transplantation for severe combined immune deficiency. Which of the following would the nurse interpret as indicative of graft-versus-host disease?
A) Presence of wheezing
B) Splenomegaly
C) Maculopapular rash
D) Chronic or recurrent diarrhea
C
Feedback:
The nurse should monitor the stem cell transplant child closely for a maculopapular rash that usually starts on the palms and soles for indication that graft-versus-host disease is developing. Wheezing and recurrent diarrhea are not typical clinical manifestations of graft-versus-host disease. Splenomegaly is associated with hypogammaglobulinemia.
You might also like to view...
A nurse is conducting discharge teaching with a client being discharged on clonidine (Catapres). The nurse would instruct the client about which of the following as a possible adverse reaction? Select all that apply
A) Dry mouth B) Bradycardia C) Sedation D) Anorexia E) Tachypnea
A 22-year-old male is being discharged home after surgery for testicular cancer. The patient is scheduled to begin chemotherapy in 2 weeks
The patient tells the nurse that he doesn't think he can take weeks or months of chemotherapy, stating that he has researched the adverse effects online. What is the most appropriate nursing action for this patient at this time? A) Provide empathy and encouragement in an effort to foster a positive outlook. B) Tell the patient it is his decision whether to accept or reject chemotherapy. C) Report the patient's statement to members of his support system. D) Refer the patient to social work.
An elderly female with osteoporosis has been hospitalized. Prior to discharge, when teaching the patient, the nurse should include information about which major complication of osteoporosis?
A) Bone fracture B) Loss of estrogen C) Negative calcium balance D) Dowager's hump
A unit manager is preparing the time schedule for the summer holiday season. Approximately one half of the staff has requested 1 to 2 weeks' vacation. Granting all the requested time will lead to severe staffing shortages
What is the nurse manager's primary consideration in developing this schedule? a. Nurses' satisfaction and work perfor-mance b. Establishing good communication with staff members to reduce resentment c. Granting requests by seniority and per-formance evaluations d. Client safety needs