The client being discharged home after a bone marrow transplantation for leukemia asks why protection from injury is so important. What is the nurse's best response?
A. "The transplanted bone marrow cells are very fragile and trauma could result in rejection of the transplant."
B. "Trauma is likely to result in loss of skin integrity, increasing the risk for infection when you are already immunosuppressed."
C. "Platelet recovery is slower than white blood cell recovery and you remain at risk longer for bleeding than you do for infection."
D. "The medication regimen after transplantation includes drugs that slow down cell division, making healing after any injury more difficult."
C
Platelets recover more slowly than other blood cells after bone marrow transplantation. Thus, the client is still thrombocytopenic at home and remains at risk for excessive bleeding after any trauma of injury.
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A nurse reviews the chart of a client who has Crohn's disease and a draining fistula. Which documentation should alert the nurse to urgently contact the provider for additional prescriptions?
a. Serum potassium of 2.6 mEq/L b. Client ate 20% of breakfast meal c. White blood cell count of 8200/mm3 d. Client's weight decreased by 3 pounds
The graduate nurse arrives at the NCLEX-PN® test site. Normally, the nurse does not experience test anxiety. but upon entering the building, the nurse can feel his heart racing, and suddenly feels faint
What can the nurse do to overcome test anxiety? 1. Postpone the test for another day. 2. Remember that if he fails, he can take the test again. 3. Take a deep breath and remember that he is prepared to pass this exam. 4. Tell the receptionist he feels faint.
The client with lymphoma asks his nurse why his disease treatment regimen includes radiation and surgery as well as chemotherapy, when his 16-year-old female cousin only had chemotherapy for leukemia. What is the nurse's best response?
A. "Radiation is not used as therapy in girls and women so as not to disrupt their childbearing ability." B. "Lymphomas can form discrete tumors that can be removed by surgery or treated locally with radiation, but leukemic cells are more widespread." C. "Your disease is probably more widespread and advanced than your cousin's was, requiring additional types of intensive therapy for cure." D. "Lymphomas can be cured using multiple therapies and leukemia cannot be cured, only controlled with lifelong injections of chemotherapy."
Which of the following is the correct sequence for the abdominal exam?
A) Inspection, palpation, percussion, and auscultation B) Inspection, percussion, palpation, and auscultation C) Inspection, auscultation, percussion, and palpation D) Inspection, auscultation, palpation, and percussion