You are caring for a client who is receiving a bone marrow transplant to treat cancer. Important aspects of care to consider include: (Select all that apply.)
1. A patient receiving BMT is immune-suppressed and should be on reverse precautions.
2. BMT is done as a first line of treatment for children with cancer.
3. BMT should be given to the patient after they have received chemotherapy or radiation treatment so that his/her newly given healthy cells are not harmed.
4. Donor matches do not have to be exact and are easily found.
5. There are three major types of BMT, including allogeneic, autologous, and peripheral stem cell transplant (PSCT).
1, 3, 5
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1. Reverse precautions help the patient to not get infections from other individuals.
2. BMT is usually a last resort for treatment.
3. Chemotherapy and radiation kill cells, so the BMT should be done after this to keep the healthy cells alive.
4. Donor matches are difficult to find, and an exact match must be used.
5. The three types of BMT can benefit many different patients.
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What action by the perioperative nursing staff is most important to prevent surgical wound infection in a client having a total joint replacement?
a. Administer preoperative antibiotic as ordered. b. Assess the client's white blood cell count. c. Instruct the client to shower the night before. d. Monitor the client's temperature postoperatively.
Rick is 20 years old and lives an active lifestyle in the city. On the weekends, he enjoys attending dance clubs and meeting women who he hopes he can bring back to his apartment when the club closes
After a series of these anonymous sexual encounters, he began to experience some mild discomfort while urinating. He ignored the problem at first, but knew something was wrong when a thin urethral discharge became noticeable. One day after work, he went to a family planning center where swab of his urethra revealed the presence of C. trachomatis. He was prescribed antibiotics and was told to abstain from sexual intercourse until his treatment had been completed and he was clear of the infection What are the differences between chlamydial elementary bodies and reticulate bodies? What feature of the reticulate bodies makes them different from other forms of bacteria? If Rick were to present with mucocutaneous lesions on his feet, what complication might you suspect? What are the other symptoms associated with this condition? How does C. trachomatis contribute to infertility in both men and women? If one of Rick's infected women were to have a child, what effect, if any, would this have on the neonate?
During health history assessment, an adult client says, "I've been told I have some sort of bleeding disorder, but I'm not certain." Which responses by the nurse are the most appropriate?
Standard Text: Select all that apply. 1. "Did the health care provider mention von Willebrand disease?" 2. "None of the inherited bleeding disorders affect women." 3. "Is there a history of bleeding disorders in your family?" 4. "Have you ever experienced excessive bleeding or easy bruising?" 5. "If you had a true bleeding disorder you would have had symptoms earlier in your life."
The physician is considering administering an antidote to the heparin. Which generic drug is considered an antidote to heparin therapy?
a. Potassium chloride
b. Vitamin K
c. Protamine sulfate
d. Atropine