A patient recovering from a bone marrow transplant develops a maculopapular rash on the palms of both hands and the soles of the feet along with severe abdominal pain and bloody diarrhea. What should the nurse suspect this patient is experiencing?
A. Acute tissue rejection
B. Hyperacute tissue rejection
C. Graft-versus-host disease
D. Chronic tissue rejection
Answer: C
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Birth for the nulliparous woman with a fetus in a breech presentation is usually a:
a. cesarean section. b. vaginal delivery. c. forceps-assisted delivery. d. vacuumed extraction.
Via vaginal examination, the nurse evaluates the woman to be 4 cm dilated, with uterine contractions every 3½ to 4 minutes by external fetal monitor. The nurse would report this as:
1. first stage, latent phase. 2. first stage, active phase. 3. first stage, transition phase. 4. second stage, latent phase.
A new mother has just received news that her newborn has been diagnosed with Prayer-Willis syndrome. The nurse knows that the mother needs more education when she states:
1. "My child will need regular checkups for scoliosis and osteoporosis.". 2. "My baby may not show pain like my other children.". 3. "I can breastfeed my baby for as long as I want.". 4. "I need to get early child interventions for her to function on her best level.".
Which physical signs indicate labored breathing? (Select all that apply.)
a. Grunting on expiration b. Elevating shoulders and ribs on inspiration c. Tensing neck and shoulder muscles d. Substernal retraction e. Productive cough