The nurse, caring for a client who has had a bone marrow transplant, assesses a rash over a large part of the client's body and discovers, upon questioning, that the client has had diarrhea and vomiting on day 30 following the transplant
The nurse reviews laboratory results and sees liver enzymes are elevated. The nurse suspects that this client has: 1. Veno-occlusive liver disease.
2. Renal insufficiency.
3. Gastrointestinal toxicity.
4. Acute graft-versus-host disease.
4. Acute graft-versus-host disease.
Rationale:
A rash and diarrhea and vomiting are classic symptoms of acute graft-versus-host disease following a bone marrow transplant as the body attempts to destroy the bone marrow seen as a foreign antigen. Veno-occlusive liver disease, renal insufficiency, and gastrointestinal toxicity are not associated with graft-versus-host disease.
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The nurse will contact the provider, who will: a. order a bulk-forming laxative. b. order extra fluids and fiber. c. perform diagnostic tests. d. prescribe a cathartic laxative.
Change for the community as client must often occur at several levels because:
a. Health problems caused by lifestyle are multidimensional. b. Most individuals can change their habits alone. c. Aggregates are responsible for social change. d. Geographic areas often have health risks that the nurse must identify.
A client on long-term corticosteroid therapy tells the nurse that the plan is to stop taking the medication when the current prescription is completed. How should the nurse respond?
Standard Text: Select all that apply. 1. "You could develop nausea, vomiting, and other problems if you stop this medication abruptly." 2. "Your body will not be able to produce the steroid that you need and you will become very ill." 3. "Why do you plan to stop taking the medication?" 4. "I'm sure you know what is best for your health." 5. "You will feel sick for a short while after stopping the medication, but it will go away."
The nurse washes her hands for 1 minute before caring for her client. The rationale for this is
A) To provide safe and effective nursing care B) To prevent her from developing disease C) Freedom from disease-producing organisms D) The sterilization of her hands to prevent infection