Which risks should the nurse closely assess a pediatric client for during the posttransplant phase of hematopoietic stem cell transplantation (HSCT)?
1. Hemorrhage
2. Thrombosis
3. Pancytopenia
4. Infection
5. Fluid volume overload
1, 3, 4
Explanation:
1. Suppression of platelets increases the risk for bleeding.
2. There is no increased risk for thrombosis.
3. It takes 2 to 4 weeks for the bone marrow to begin producing cells; the client will show evidence of suppression until that time.
4. Suppression of white blood cells increases the client's risk for infection.
5. There is no increased risk of excess fluid; the client is at greater risk for dehydration.
You might also like to view...
The nurse is screening clients at a health fair. Which client is at highest risk for the development of colon cancer?
a. Older white client with irritable bowel syndrome b. Middle-aged African-American client who smokes cigars c. Middle-aged Asian client who travels and eats out frequently d. Older American Indian client taking hor-mone replacement therapy
A patient has a chest tube inserted for a pneumothorax. What should the nurse expect when assessing the drainage system?
1. periodic bubbling in the water seal chamber immediately after insertion 2. no evidence of tidaling 3. vigorous bubbling in the suction control chamber 4. large amount of bloody drainage in the drainage collection chamber
A patient hands the nurse an advance directive during the admission process. Which of the following should the nurse do?
1. Place the document in the patient's medical record. 2. Read the document and hand it back to the patient. 3. Make a copy of the document and give the copy to the patient. 4. Call social services to collect the document.
When does the body break down fatty acids incompletely creating an increase in ketone formation?
A) Starvation and uncontrolled diabetes B) Periods of a high-fat intake C) Coronary heart disease D) Fat malabsorption syndromes