For children who do not have a matched sibling bone marrow donor, the therapeutic management of aplastic anemia includes what intervention?
a. Antibiotics
b. Antiretroviral drugs
c. Iron supplementation
d. Immunosuppressive therapy
ANS: D
It is thought that aplastic anemia may be an autoimmune disease. Immunosuppressive therapy, including antilymphocyte globulin, antithymocyte globulin, cyclosporine, granulocyte colony-stimulating factor, and methylprednisone, has greatly improved the prognosis for patients with aplastic anemia. Antibiotics are not indicated as the management. They may be indicated for infections. Antiretroviral drugs and iron supplementation are not part of the therapy.
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The client with peripheral vascular disease (PVD) is about to be discharged home. The nurse should instruct the client and family to:
1. Inspect his legs daily for signs of redness or irritated skin. 2. Keep his legs crossed when sitting. 3. Keep his legs flat when in bed. 4. Limit ambulation.
The nurse is planning a seminar that focuses on the 2020 National Health Goals during pregnancy for patients who are in the first trimester of pregnancy. Which information should the nurse include in this seminar? (Select all that apply.)
A) Refusing alcohol B) Importance to stop smoking C) Maintaining health appointments D) Seeking alternative care approaches E) Abstaining from drugs and substances
An adolescent is hospitalized after a violent physical outburst and tells the nurse, "I'm going to kill my parents, but you can't tell them." Select the nurse's initial response
a. "You're right. Federal law requires me to keep information private." b. "Those kinds of threats will make your hospitalization longer." c. "You really should share this thought with your psychiatrist." d. "I am required to talk to the treatment team about your threats."
Using Betty Neuman's conceptual model, what action by the nurse would indicate primary prevention?
a. Eating French fries and drinking a choco-late shake for lunch b. Taking the elevator instead of the stairs c. Sleeping 4 hours the night before work d. Exercising every other day