The nurse is caring for a client is scheduled for chemotherapy followed by autologous stem cell transplant. Which of the following statements by the client indicates a need for further teaching?
A) "I hope they find a bone marrow donor who matches."
B) "The doctor will remove cells from my bone marrow before beginning chemotherapy."
C) "I will receive chemotherapy until most of the cancer is gone, and then I will get my own stem cells back."
D) "I will need to be in protective isolation for up to 3 months after treatment."
A
Feedback:
An autologous stem cell transplant comes from the client not from a donor. The doctor will remove the stem cells from the bone marrow before beginning chemotherapy and treat the client until most if not all the cancer is eliminated before reinfusing the stem cells. Clients are at risk for infection and will be closely monitored for at least 3 months.
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