In preparing a patient to receive an autologous bone marrow transplantation, which action by the nurse is best?
A.
Ensure HLA typing has been done.
B.
Limit visitors to one per shift.
C.
Place the child in protective isolation.
D.
Teach about long-term complications.
ANS: C
In preparation for a bone marrow transplant, patients are given "near lethal" doses of chemotherapy and/or radiation in order to completely destroy their own bone marrow. This child will need protective isolation. HLA typing does not need to be done, as the source of the bone marrow is the child herself. Visitors do not need to be limited so severely. Teaching about complications is important, but does not take priority over protecting the child.
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