A patient received allogeneic hematopoietic stem cell transplantation 2 days ago. Which of the following is most likely occurring with the patient at this time?
1. lowest level of bone marrow functioning and at the highest risk for infection
2. body is accepting the transplanted cells and is at the lowest risk for infection
3. the transplanted cells are attacking the patient's tissues
4. normal hematopoietic cells are being made by the patient's body
1
Rationale: Within 2 to 3 days after the transplant, the patient's bone marrow function drops to its lowest level, placing the patient at significant risk for infection. Engraftment can take as long as 5 weeks so the patient will continue to be at risk for infection. It can take up to 5 weeks for the body to make normal hematopoietic cells and not 2 days. A negative outcome of the procedure is when the transplanted cells see the patient as foreign and attacks the patient's own tissue.
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Which of the following is proposed as the best method to measure improvement in patients' conditions?
a. An index of improvement b. Change scores c. Has not been a useful method suggested at this time d. Percentage of improvement
At 1 minute after birth the nurse assesses the infant and notes a heart rate at 80 beats/min, some flexion of extremities, a weak cry, grimacing, and a pink body but blue extremities. The nurse would calculate an Apgar score of _____
1. 4 2. 5 3. 6 4. 7
Syncope is:
a. Footdrop b. Postural hypotension c. Fainting d. Orthosis
MC The nurse has drawn an ecomap to assist the family who is experiencing some relationship difficulties. The ecomap
A. Depicts the relationships within and outside the family. B. Is a diagram of a family tree. C. Demonstrates how healthy the family is. D. Prioritizes family relationships.