The nurse working on a bone marrow unit knows that it is a priority to monitor which of the following in a client who has just undergone a stem cell transplant?
A) Monitor the client's toilet patterns.
B) Monitor the client closely to prevent infection.
C) Monitor the client's physical condition.
D) Monitor the client's heart rate.
B
Feedback:
Until transplanted stem cells begin to produce blood cells, these clients have no physiologic means to fight infection, which makes them very prone to infection. They are at high risk for dying from sepsis and bleeding before engraftment. Therefore, a nurse must closely monitor clients and take measures to prevent infection. Monitoring client's toilet patterns, physical condition, and heart rate does not prevent the possibility of the client getting an infection.
You might also like to view...
The nurse is experiencing collisions when attempting to improve CULTURALCOMPETENCE. What types of collisions is this nurse experiencing?Select all that apply.Note: Credit will be given only if all correct choices and no incorrect choices are selected.
A. Meeting dense cultural barriers B. Sabotaged efforts C. Experiencing slips and blunders D. Observing hurtful frustrations E. Unexpected hills
A patient with class IV heart failure has been receiving care in the cardiac critical care unit and attempts to wean the patient from inotropic support have been unsuccessful
The care team has appraised the benefits and deficits of a ventricular assist device (VAD) and will present this option to the patient's family. When teaching the patient's family about this intervention, what description should the nurse provide? A) "A VAD is inserted to supplement the heart's ability to pump blood from the heart to the rest of the body." B) "A VAD regulates the electrical activity in the heart and coordinates the pumping action to increase efficiency." C) "A VAD increases the size of the blood vessels downstream from the heart so that circulation is easier and more efficient." D) "A VAD involves the insertion of a balloon into a major blood vessel to improve the strength and volume of circulation."
Which nursing intervention should the nurse use to determine that the IV fluid is infusing into the vein properly?
1. Open roller clamp and watch fluid infuse for 5 minutes. 2. Lower IV bag to the floor and observe for blood return. 3. Disconnect IV tubing at the hub and watch for blood leakage. 4. Observe if infusion ceases when the vein is gently compressed.
A nurse is planning to teach a client about a new medication. What is the best teaching method?
A. Instruct the client that their local pharmacy will teach them about this medication. B. Give the client oral and written drug information and instructions. C. Provide oral drug information and instructions as opposed to written. D. Leave written drug information and instructions at the bedside.