The nurse is caring for a 7-year-old girl who is undergoing a stem cell transplant. Which of the following is a post-transplant intervention?
A) Assessing for petechiae, purpura, bruising, or bleeding
B) Limiting blood draws to the minimum volume required
C) Administering antiemetics around the clock as ordered
D) Monitoring for severe diarrhea and maculopapular rash
D
Response:
In the post-transplant phase, monitor closely for symptoms of graft-versus-host disease (GVHD) such as severe diarrhea and a maculopapular rash progressing to redness or desquamation of the skin (especially on the palms of the hands or soles of the feet). During chemotherapy in the pre-transplant phase, assess for petechiae, purpura, bruising, or bleeding to prevent hemorrhage, administer antiemetics around the clock as ordered to prevent the cycle of nausea, vomiting, and anorexia, and limit blood draws to minimum volume required to prevent anemia.
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